偽閉経療法中に発症した一過性甲状腺機能亢進症例の検討

概要

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The patient is 34 years old with secondary sterility. Endometriosis was treated with GnRH agonist. The patient complained of general fatigue and palpitation after administration of GnRH agonist. Add back therapy was given, but there was no improvement in the clinical symptoms. Then thyroid function examination showed transient hyperthyroidism, negative TSH receptor antibody and positive thyroglobulin antibody, and ^<123>i uptake decreased greatly. We diagnosed the case as painless thyroiditis (autoimmune thyroiditis). There is considerable evidence that the immune system is regulated in part by sex steroids. In this case fluctuating sex steroid levels might have produced changes in immune function.
社団法人日本産科婦人科学会の論文
1999-10-01