Bocio tóxico difuso posadministración de hormona tiroidea

Authors

  • ERNESTO ALAVEZ MARTÍN ECIMED
  • FRANCISCO NAVARRO NAVARRO ECIMED
  • FELIPE SANTANA PÉREZ ECIMED

Abstract

Se presentan las historias clínicas de tres pacientes, dos con bocio y eutiroideo y el otro con hipotiroidismo y bocio que presentaron manifestaciones clínicas y químicas propias del bocio tóxico difuso en el curso de la ingestión de hormona tiroidea. Los síntomas de hiperfunción tiroidea se mantuvieron después de suspender el medicamento. El cuadro histológico de la glándula al inicio fue interpretado como propio de la enfermedad de Hashimoto. Los síntomas se controlaron con tratamiento antitiroideo. Se considera que, aunque esta asociación parece ser casual, es necesario que estos pacientes presenten la base inmunogenética que caracteriza al bocio tóxico difuso. Se menciona la posibilidad de “transición" de anticuerpos bloqueadores inhibidores en anticuerpos bloqueadores estimuladores para explicar el cambio de enfermedad.

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Published

2020-11-18

How to Cite

1.
ALAVEZ MARTÍN E, NAVARRO NAVARRO F, SANTANA PÉREZ F. Bocio tóxico difuso posadministración de hormona tiroidea. Rev Cubana Med [Internet]. 2020 Nov. 18 [cited 2025 Feb. 7];22(4). Available from: https://revmedicina.sld.cu/index.php/med/article/view/1970

Issue

Vol. 22 No. 4 (1983)

Section

Case Reports

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