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KMID : 0882420140860010079
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Korean Journal of Medicine
2014 Volume.86 No. 1 p.79 ~ p.83
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A Case of Acute Suppurative Thyroiditis Complicated by Hypocalcemia
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Yoo Seung-Jin
Shim Myoung-Sook
Kim Won-Jun
Kim Eun-Jung
Oh Kwang-Hoon
Lee Je-Hoon
Kwon Jun-Sung
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Abstract
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We report a case of acute suppurative thyroiditis complicated by idiopathic hypoparathyroidism. The patient was a 49-year-old female who visited our clinic with a painful goiter on the left lobe of the thyroid gland. She was hypocalcemic, which was accompanied unusually by acute suppurative thyroiditis. She also suffered from tetany of both hands and legs. She had undergone a right subtotal thyroidectomy at another hospital 23 years previously due to a benign thyroid nodule. Intact parathyroid hormone (PTH) levels were increased, but other laboratory findings were normal. No special treatment was administered for the acute suppurative thyroiditis, except antibiotics, to observe its natural course. Her PTH levels decreased and serum calcium returned to normal. The complication of acute suppurative thyroiditis suggested the possible involvement of idiopathic hypoparathyroidism.
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KEYWORD
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Acute suppurative thyroiditis, Hypocalcemia, Idiopathic hypoparathyroidism
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