Grave’s Disease with Severe Hepatic Dysfunction: A Diagnostic and Therapeutic Challenge
المؤلفون المشاركون
Sarma, Dipti
Bhuyan, Ashok Krishna
Choudhury, Bipul Kumar
Kaimal Saikia, Uma
المصدر
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-09-15
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Hepatic dysfunction in a patient with thyrotoxicosis may result from hyperthyroidism per se, as a side effect of antithyroid drugs, and causes unrelated to hyperthyroidism which sometimes causes diagnostic and therapeutic difficulties.
A young female patient was admitted to our hospital with symptoms of thyrotoxicosis, diffuse goiter and ophthalmopathy along with cholestatic pattern of jaundice, and proximal muscle weakness.
She was treated with propylthiouracil with gradual recovery.
She was continuing her antithyroid medication with regular follow-up.
The patient was readmitted a few months later with worsening thyrotoxicosis, proximal muscle weakness, fever, and a hepatocellular pattern of jaundice with sepsis.
Propylthiouracil was stopped and lithium along with steroid coverage was given to control her thyrotoxicosis which was later changed to methimazole.
Broad spectrum antibiotic therapy was also started but without any response.
During her hospital stay, the patient also developed a flaccid paraplegia resembling Guillain-Barre syndrome.
IV steroid was started for the neuropathy but meanwhile the patient succumbed to her illness.
So in centers where facility for radioiodine therapy is not readily available, some definite well-tested protocols should be formulated to address such common but complicated clinical situations.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Bhuyan, Ashok Krishna& Sarma, Dipti& Kaimal Saikia, Uma& Choudhury, Bipul Kumar. 2014. Grave’s Disease with Severe Hepatic Dysfunction: A Diagnostic and Therapeutic Challenge. Case Reports in Medicine،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1034801
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Bhuyan, Ashok Krishna…[et al.]. Grave’s Disease with Severe Hepatic Dysfunction: A Diagnostic and Therapeutic Challenge. Case Reports in Medicine No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-1034801
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Bhuyan, Ashok Krishna& Sarma, Dipti& Kaimal Saikia, Uma& Choudhury, Bipul Kumar. Grave’s Disease with Severe Hepatic Dysfunction: A Diagnostic and Therapeutic Challenge. Case Reports in Medicine. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-1034801
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1034801
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر