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关于锂诱发甲状腺疾病先前已有许多的报道。所有病例均有甲状腺肿大,而且大多数伴有甲状腺机能低下,却很少伴有甲状腺机能正常和机能亢进。受锂影响的甲状腺炎的形态学特征以前未曾有人叙述。 本文报告一例锂诱发的甲状腺炎的组织病理学特征。患者为62岁女性,于1973年患抑郁症,曾用碳酸锂治疗。1978年12月发现甲状腺弥漫性肿大,并在左叶出现一结节,患者无甲状腺疾病和家族性甲状肿大的病史。检查发现其甲状腺呈弥漫性肿大,左叶侧面可扪及一个质硬能移动直径为1.0cm
There have been many previous reports on lithium-induced thyroid disease. All cases had goiter, and most accompanied by hypothyroidism, but rarely accompanied by normal thyroid function and hyperactivity. The morphological features of lithium-affected thyroiditis have not been previously described. This article reports the histopathological features of a lithium-induced thyroiditis. 62-year-old female patient, suffering from depression in 1973, had lithium carbonate treatment. In 1978 December found diffuse thyroid enlargement, and a nodule in the left lobe, the patient had no history of thyroid disease and familial thyrotrophosis. Examination found that the thyroid was diffuse enlargement, left lateral palpable side of a hard and can move a diameter of 1.0cm