慢性甲状腺炎の臨床的研究(3) : 分娩後に一過性甲状腺機能低下症を呈した慢性甲状腺炎

概要

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In the previous paper, we reported two forms of hyperthyroidism in patients with chronic thyroiditis. In this paper, three cases of female patients with chronic thyroiditis who had transient hypothyroidism after their delivery were reported. The characteristic features of the cases were as follow. 1) Subjects ranged in age from 24 to 31. 2) The symtoms of hypothyroidism were generally mild. 3) In all patients, diffuse goiters were noticed one to three months after the delivery. 4) In all cases, low T_3-RSU, T_4 and T_3 level and elevated TSH level in plasma were seen in examination performed three to four months after the delivery. 5) In two cases, high thyroidal radioactive iodine uptake was seen. 6) Plasma antithyroglobulin antibody was positive in one case, while high antimicrosomal antibody titer was seen in all cases. Antimicrosomal antibody titer did not change during the 14 months' observation. 7) Chronic thyoiditis was histologically found in two cases. 8) The enlarged thyroid glands decreased their size but did not become completely normal during our observation period in all cases.
北里大学の論文
1977-12-31