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Thyrotoxicosis after a massive levothyroxine ingestion: A case report

作     者:Fang Du Shi-Wei Liu Hua Yang Rui-Xue Duan Wen-Xia Ren 

作者机构:Department of EndocrinologyTaiyuan Central Hospital of Shanxi Medical UniversityTaiyuan 030009Shanxi ProvinceChina Department of Endocrinology and MetabolismWest China HospitalSichuan UniversityChengdu 610041Sichuan ProvinceChina Department of EndocrinologyShanxi Bethune HospitalShanxi Academy of Medical SciencesTaiyuan 030032Shanxi ProvinceChina 

出 版 物:《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期:2022年第10卷第11期

页      面:3624-3629页

核心收录:

学科分类:1007[医学-药学(可授医学、理学学位)] 1006[医学-中西医结合] 100706[医学-药理学] 100602[医学-中西医结合临床] 10[医学] 

主  题:Levothyroxine Overdose Thyrotoxicosis Thyroid crisis Treatment Case report 

摘      要:BACKGROUND The literature on thyrotoxicosis caused by excessive ingestion of exogenous thyroid hormone is limited,and most cases reported have involved pediatric clinical *** SUMMARY A 21-year-old woman initially presented with palpitation and chest tightness after an overdose of levothyroxine(10 mg).The patient transiently lost consciousness and developed atrial fibrillation during *** used propylthiouracil to decrease the peripheral conversion of T4 to T3 and inhibit the synthesis of endogenous thyroxine,propranolol to control heart rate,hydrocortisone to correct severe thyrotoxicosis,and hemoperfusion to increase levothyroxine *** patient recovered and was *** For patients with thyrotoxicosis after taking excess levothyroxine,it is critical to monitor vital signs and initiate effective treatment.

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