지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Musculoskeletal symptoms, such as muscle weakness, stiffness and pain, are observed frequently in patients with hypothyroidism. In theory, hypothyroidism can cause weakness of the swallowing muscles, but dysphagia associated with hypothyroidism-associated myopathy has not been reported. The present case involved a 51-year-old man who experienced acute onset of severe dysphagia with aspiration pneumonia. A video fluoroscopic swallowing study and fiberoscopic endoscopic evaluation of swallowing revealed pharyngo-laryngeal function impairment. With a prior history of subclinical hypothyroidism and clinical symptoms such as proximal limb weakness, further evaluation involving a hormonal study, electrodiagnostic study, and histopathology assessment revealed myopathy. Hormone replacement therapy was started and the patient recovered within three weeks of treatment and was taking a regular diet. In conclusion, this study suggests that it is necessary to consider further evaluations to determine if hypothyroid myopathy is involved in the case of unknown origin dysphagia accompanied by hypothyroid myopathy.
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등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Sindoni A / 2016 / Hypothyroid myopathy: A peculiar clinical presentation of thyroid failure. Review of the literature / Reviews in endocrine & metabolic disorders 17:499~519
Rosenbek JC / 1996 / A penetration-aspiration scale / Dysphagia 11(2):93~98
Salvatore D / 2014 / Thyroid hormones and skeletal muscle--new insights and potential implications / Nature reviews. Endocrinology 10:206~214
Horak HA / 2000 / Endocrine myopathies / Neurol Clin 18:203~213
Reuters VS / 2009 / Functional capacity and muscular abnormalities in subclinical hypothyroidism / The American journal of the medical sciences 338:259~263
Rosenbek JC / 1996 / A penetration-aspiration scale / Dysphagia 11(2):93~98
Salvatore D / 2014 / Thyroid hormones and skeletal muscle--new insights and potential implications / Nature reviews. Endocrinology 10:206~214
Horak HA / 2000 / Endocrine myopathies / Neurol Clin 18:203~213
Reuters VS / 2009 / Functional capacity and muscular abnormalities in subclinical hypothyroidism / The American journal of the medical sciences 338:259~263
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