论文部分内容阅读
患者女,18岁。颈部、腋窝、腹股沟皮肤肥厚、色素沉着8年,颈部皮肤色素沉着表面白色斑片2年。皮肤科情况:颈部、腋窝、腹股沟皮肤肥厚、色素沉着,呈绒毛样增生。颈部皮肤色素沉着表面见约4.5cm×3.0cm大小的色素脱失斑,周边见色素沉着晕。实验室检查:空腹和餐后2h血胰岛素水平分别为38.59μIU/mL(正常值2.0~30.5μIU/mL)和136μIU/mL(正常值11.5~99.65μIU/mL)。血睾酮水平113.5ng/dL(正常值10.0~75.0ng/dL)。3T功能:血清促甲状腺激素(TSH)>100μIU/mL(正常值0.34~5.60μIU/mL),FT3 2.9pmol/L(正常值3.8~6.0pmol/L),FT4 2.8pmol/L(正常值7.9~14.4pmol/L)。诊断:HAIR-AN综合征、白癜风、甲状腺功能减退并发。
Patient female, 18 years old. Neck, armpit, groin skin hypertrophy, pigmentation for 8 years, neck skin pigmentation surface white patches 2 years. Dermatology: neck, armpit, groin skin hypertrophy, pigmentation, was villous hyperplasia. Pigmentation of the neck skin see the size of about 4.5cm × 3.0cm pigmentation loss spots, around the see pigmentation halo. Laboratory tests: fasting and postprandial blood insulin levels of 2h 38.59μIU / mL (normal 2.0 ~ 30.5μIU / mL) and 136μIU / mL (normal 11.5 ~ 99.65μIU / mL). Blood testosterone levels 113.5ng / dL (normal 10.0 ~ 75.0ng / dL). 3T function: Serum thyroid stimulating hormone (TSH)> 100μIU / mL (normal value 0.34 ~ 5.60μIU / mL), FT3 2.9pmol / L (normal value 3.8 ~ 6.0pmol / L), FT4 2.8pmol / L ~ 14.4 pmol / L). Diagnosis: HAIR-AN syndrome, vitiligo, hypothyroidism complicated.