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慢性淋巴细胞性甲状腺炎是青少年时期甲状腺肿及甲状腺功能减退常见的原因。是一种自身免疫性疾病,甲状腺功能可正常、亢进或减退。疾病发展缓慢,但临床并不少见,现报告4例如下。例1 女,12岁。颈部肿大2～3天,食欲减退、便秘。双侧甲状腺弥漫性Ⅲ°肿大,右叶扪及结节,无痛。心率88次。T_3 0.8nmol/L,T_4<26nmol/L,TSH>54uU/L,TGAb69.5％,TMAb 70.9％,RAIU 2h 42.7％,6h 32.0％,24h 21.7％,甲状腺扫描为弥漫性肿大,右叶“温结节”,予甲状腺片治疗,甲状腺稍缩小,食欲增加。例2 女,10岁。颈部肿大伴疼痛7天。T_3<0.77nmol/L,T_4<26nmol/L,TSH>
Chronic lymphocytic thyroiditis is a common cause of goiter and hypothyroidism in adolescence. Is an autoimmune disease, thyroid function can be normal, hyperthyroidism or diminished. Slow development of the disease, but the clinical is not uncommon, 4 are reported below. Example 1 Female, 12 years old. Neck swelling 2 to 3 days, loss of appetite, constipation. Bilateral thyroid diffuse Ⅲ ° enlargement, palpable right nodule, painless. Heart rate 88 times. T_3 0.8nmol / L, T_4 <26nmol / L, TSH> 54uU / L, TGAb 69.5%, TMAb 70.9%, RAIU 2h 42.7%, 6h 32.0%, 24h 21.7%, thyroid scan for diffuse enlargement, “Wenjiejie” to thyroid tablets treatment, thyroid slightly smaller, increased appetite. Example 2 Female, 10 years old. Neck enlargement with pain for 7 days. T_3 <0.77nmol / L, T_4 <26nmol / L, TSH>