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갑상선 기능저하증을 가진 산모에서 발생한 심막삼출 1예

A Case of Pericardial Effusion in Pregnant Woman with Hypothyroidism

대한산부인과학회지 2004년 47권 12호 p.2472 ~ 2475
남현우/Nam HW
송은석/김윤숙/김종수/최승도/선우재근/배동한/Song ES/Kim YS/Kim JS/Choi SD/Sunwoo JG/Bae DH

Abstract


Because thyroid disorders have a predilection for young women, it is not surprising that they are encountered with some frequency during pregnancy. Additionally, there is evidence that changes induced by pregnancy may actually stimulate remission and exacerbation of preexisting thyroid disease. Hypothyroidism is diagnosed if the expected rise of circulating thyroxine level does not occur during pregnancy, and the level of thyrotropin is elevated. Some authors indicate that hypothyroid women who do become pregnant have a high incidence of preeclampsia and placental abruption with a correspondingly inordinate number of low birth- weight, stillborn infants, heart diseases of pericardial effusion, pleural effusion and so on. We report here a case of patient, 35-year-old pregnant woman who experienced pericardial and pleural effusions with hypothyroidism induced after total thyroidectomy. The patient was recovered with thyroxine replacement and conservative treatments.

키워드

Hypothyroidism;Pregnancy;Pericardial effusion;Thyroxine replacement;갑상선 기능저하증;임신;심막삼출;타이록신 대체 요법
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