[Hyperthyroidism Crisis]A 27-year-old woman has been suffering from hyperthyroidism for a week with low fever

The thyroid is the largest endocrine gland in the human body, and hyperthyroidism often occurs in women. Hong Kong artists Cheng Xiuwen, Zhang Keyi, Shum Xingxian and Gou Yunhui all suffered from related diseases and needed to stop work and rest. Many people are unaware that they have hyperthyroidism because the symptoms of the disease are not obvious, such as a fast heartbeat, a fast body metabolism, or a greater fear of heat. A doctor pointed out that a female patient had sought medical attention because of a low-grade fever, and then found that her liver function was abnormal. After careful examination, it was discovered that it was caused by “hyperthyroidism”. After the right medicine was prescribed, the patient returned to normal.

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Liu Pengchi, a family physician at Xinguang Hospital, mentioned in “Health 2.0” that many patients “inadvertently” discovered that they had hyperthyroidism, and some of them had “atypical” symptoms. He said that he once met a 26- and 27-year-old female patient in the outpatient clinic. When he measured his body temperature at home for a week, he found a low-grade fever between 37.5 degrees and 38 degrees. He felt that something was wrong and sought medical treatment.

Liu Pengchi pointed out that generally for this type of low-grade fever, doctors usually do a series of tests related to infection, because 70% of people are caused by infection. However, after completing the relevant tests, the female patient only found that the liver function and white blood cells were slightly elevated, and the inflammation index was only slightly higher than normal. Therefore, he suspected whether it was related to “autoimmunity” or “endocrine organs”. It was only confirmed that she was suffering from “hyperthyroidism” and needed medication to get better. However, the female patient later revealed that in addition to having a fever and a rapid heartbeat, she also did not have hand tremors and weight gain or loss, which are typical symptoms of hyperthyroidism, so she could not think of a thyroid problem.

Liu Pengchi reminded that 40% of hyperthyroidism is related to abnormal liver function. If left unchecked, it may lead to liver cirrhosis and liver fibrosis. In addition, if it is related to metabolism, it may cause high blood lipids and high uric acid. These diseases It is also closely related to fatty liver, and it is more likely to develop into liver cancer in the future.

The thyroid gland is an important organ of the human body. It is located in the neck and below the throat. The thyroxine it secretes plays an important role in the processes of heartbeat, blood pressure, digestive function, energy metabolism, brain development, bone health and muscle control.

Chen Enqiang, a professor at the Department of Internal Medicine and Drug Therapy of the Chinese University of China, once said in an interview that the thyroid gland produces hormones to regulate the body’s metabolism. An overactive thyroid can lead to hyperthyroidism, while an underactive thyroid can lead to hypothyroidism. Although patients with hyperthyroidism can take medicine to regulate thyroid function, they may suffer from heart failure without timely treatment or improper medical treatment, increase the chance of stroke, and also lead to osteoporosis.

Between May 2013 and April 2017, the School of Chinese Medicine of HKBU observed 115 cases of hyperthyroidism. among:

  • 85% had symptoms of neck swelling
  • 24% had eye problems

Other symptoms such as tremors in the hands, rapid heartbeat, rapid weight loss, diarrhea

Among the cases, men accounted for 17% and women accounted for 83%. The results showed that family inheritance and emotional influence were the two main causes of the disease, accounting for 41% and 63%, respectively. The incidence was higher among working women of reproductive age between 30 and 40 years old.

treatment method

Surgeon Ho Bakian once accepted the Economic Daily that hyperthyroidism can be controlled with drugs. Nearly 90% of patients can effectively control the level of hyperthyroidism after taking the drug for 9 to 18 months. However, there is a 50% chance of recurrence. If the medication condition is unsatisfactory, the patient can choose to undergo a total thyroidectomy with minimally invasive techniques, or an oncologist can prescribe iodine according to the patient’s condition to give the patient treatment.

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Responsible editor: Luo Jiaxin

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