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甲状腺结核罕见。作者报告了一例与甲状腺毒症相关联的甲状腺结核。 患者女性,38岁。1年半来出现无力、怕热、多食、消瘦和腹泻等症状。脉率100次/分,血压170/90mmHg,手颤,甲状腺弥漫性肿大、质软。ES R16mm/h,PBI11.4μg/dl,~(131)Ⅰ摄取率24h55.5%,甲状腺扫描示弥漫性肿大、~(131)Ⅰ摄取均匀一致。颈、胸X线检查正常。诊为甲状腺毒症。经药物准备后,行甲状腺次全切除术。组织学检查示甲状腺弥漫性增生,滤泡内的基质组织中的散在上皮细胞肉芽肿病灶,其内具有郎罕氏巨细胞和中心干酪样坏死。组织学诊断为合并存在结核的甲状腺弥漫性增生。反复检查痰、尿和胃吸出物,均未
Thyroid nodules rare. The authors report an example of thyroid tuberculosis associated with thyrotoxicosis. Patient female, 38 years old. 1 year and a half to appear weak, afraid of heat, eat more food, weight loss and diarrhea and other symptoms. Pulse rate of 100 beats / min, blood pressure 170 / 90mmHg, hand tremor, diffuse thyroid enlargement, soft. ESR16mm / h, PBI11.4μg / dl, ~ (131) Ⅰtake rate 24h55.5%, thyroid scan showed diffuse enlargement, ~ (131) Ⅰ intake uniform. Neck, chest X-ray examination was normal. Diagnosis of thyrotoxicosis. After the preparation of drugs, the line subtotal thyroidectomy. Histological examination revealed diffuse proliferation of thyroid, interstitial interstitial epithelial granuloma lesions within the follicular matrix, with Langerhans giant cells and central casein-like necrosis. Histologically diagnosed as diffuse thyroid diffuse hyperplasia with tuberculosis. Repeatedly check sputum, urine and gastric aspirate, none