대한핵의학회지 (The Korean Journal of Nuclear Medicine)

대한핵의학회 (The Korean Society of Nuclear Medicine)
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아급성(亞急性) 갑상선염(甲狀腺炎)의 임상적(臨床的) 고찰(考察)

Clinical Observation on Subacute Thyroiditis

  • 김삼용 (서울대학교 의과대학 내과학교실) ;
  • 정준기 (서울대학교 의과대학 내과학교실) ;
  • 석창호 (서울대학교 의과대학 내과학교실) ;
  • 홍기석 (서울대학교 의과대학 내과학교실) ;
  • 이홍규 (서울대학교 의과대학 내과학교실) ;
  • 고창순 (서울대학교 의과대학 내과학교실) ;
  • 박성회 (서울대학교 의과대학 병리학교실) ;
  • 김용일 (서울대학교 의과대학 병리학교실)
  • Kim, Sam-Yong (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Jung, Jun-Ki (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Suk, Chang-Ho (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Hong, Kee-Suck (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Lee, Hong-Kyu (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Koh, Chang-Soon (Department of Internal Medicine, College of Medicine, Seoul National University) ;
  • Park, Seong-Hoe (Department of Pathology, College of Medicine, Seoul National University) ;
  • Kim, Yong-Il (Department of Pathology, College of Medicine, Seoul National University)
  • 발행 : 1978.12.30
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초록

8 cases of subacute thyroiditis was diagnosed among 108 needle biopsy of the thyroid during the period from April 1976 to August 1978. Correlation of the histologic findings with the clinical staging proposed by Czernick was relatively well matched; cases with long clinical course or low thyroid hormone levels showed greater fibrosis and reduction of follicular elements in thyroid. Thyroid $^{131}I$ uptake or the uptake as seen on the thyroid scanning correlated inversely with the thyroid hormone levels. The clinical course of the patients seen in their initial stage of disease followed the classical pattern; hyperthyroid-like, hypothyroid-like and recovery. 3 among the 4, who were seen in their later clinical course showed hypothyroidism, which seemed the final outcome of their diseases.

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