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하시모토 갑상샘염과 연관된 말이집탈락 말초 신경병증 1례

Title
하시모토 갑상샘염과 연관된 말이집탈락 말초 신경병증 1례
Author
안유헌
Keywords
Hashimoto's thyroiditis; Polyradiculoneuropathy; Steroids
Issue Date
2011-12
Publisher
대한노인병학회
Citation
Annals of geriatric medicine and research, 2011, 15(4), P.234-239, 6P.
Abstract
Peripheral neuropathy is somewhat common in hypothyroidism. But, demyelinating peripheral neuropathy in Hashimoto's thyroiditis is extremely rare. The pathophysiology of demyelinating peripheral neuropathy associated with Hashimoto's thyroiditis is unclear and complex and various mechanisms including the cell mediated and antibody mediated responses may be operative. We report a 68-year-old woman who presented with paresthesia and gait disturbance. She was diagnosed with hypothyroidism 7 years prior and has been on thyroid hormone. Serum antithyroglobulin antibody was significantly elevated. Nerve conduction studies revealed sensory-motor demyelinating polyneuropathy with prolonged distal latencies and reduced conduction velocities. She was under the suspicion of the lymphoma of thyroid. Surgery was performed which turned up to be Hashimoto's thyroiditis. With the impression of rare demyelinating peripheral neuropathy associated with Hashimoto's thyroiditis after other causes were excluded, she was treated with steroid which ameliorated rapidly her neurological symptoms.
URI
https://synapse.koreamed.org/DOIx.php?id=10.4235/jkgs.2011.15.4.234
ISSN
1229-2397
DOI
10.4235/jkgs.2011.15.4.234
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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