Toxic Multinodular Goiter with Low Radioactive Iodine Uptake
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概要
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A 74-year-old woman was referred to our hospital for goiter and persistent thyrotoxicosis. She had no signs of ophthalmopathy. She was not taking thyroid hormone. Thyroid CT revealed multiple nodules. The thyroid gland was not detected on 99mTc scintigraphy, 123I uptake rate was 4.5% at 24 hours without hot nodules, and aberrant goiter was negative. After partial thyroidectomy, she was treated with levothyroxine. TRAb was undetectable during the disease course, and focal destructive change or chronic lymphocytic thyroiditis on the pathological specimens was not evident. We report a rare case of toxic multinodular goiter with low radioactive iodine uptake.
著者
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Usuda Rika
Department Of Internal Medicine Toyama Prefectural Central Hospital
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Sumiya Hisashi
Department Of Biotracer Medicine Kanazawa University Graduate School Of Medical Sciences
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TAJIRI Junichi
Tajiri Thyroid Clinic
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Uchiyama Akio
Department Of Clinical Pathology Toyama Prefectural Central Hospital
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Shimizu Akiko
Department Of Bioengincering Facutly Of Engineering Soka University
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Abo Hitoshi
Department Of Radiology Toyama Prefectural Central Hospital
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MIYAUCHI Akira
Center for Excellence in Thyroid Care, Kuma Hospital
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Nishihara Eijun
Center For Excellence In Thyroid Care Kuma Hospital
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Kahara Toshio
Department of Endocrinology and Metabolism (First Department of Internal Medicine), Kanazawa University Graduate School of Medical Science
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ISHIKURA Kazuhide
Department of Disease Control and Homeostasis, Kanazawa University Graduate School of Medical Science
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Noto Hirofumi
Department of Thoracic Surgery, Toyama Prefectural Central Hospital, Japan
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Terahata Shintaro
Department of Clinical Pathology, Toyama Prefectural Central Hospital, Japan
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Sumiya Hisashi
Department of Radiology, Toyama Prefectural Central Hospital, Japan
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