원저 : 갑상선 질환의 병태생리를 이해하는 데 있어서 갑상선 스캔의 재평가 ( Reevaluation of the Thyroid Scan for the Assessment of Pathophysiologic Status of Thyroid Disease ) () |
Author |
우인숙(In Sook Woo),나정일(Jung Il Nah),김덕윤(Deog Yoon Kim),고은미(Eun Mi Koh),김성운(Sung Woon Kim),양인명(In Myung Yang),김진우(Jin Woo Kim),김영설(Young Seol Kim),김광원(Kwang Won Kim),최영길(Young Kil Choi), |
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Abstract |
To diagnosis and understand the pathophysiologic status
of thyroid disease, not only hormonal measurments but
also thyroid scan is believed to have a unique role.
Especially in the cases of the change of the thyroid
function by thyroiditis, it is emphasized that thyroid
scan can be helpful in differentia! diagnosis,
Discordant results of thyroid hormone levels and
thyroid scan are found in transient hyperthyroidism, or
in transient hypothyroidism. We analysed and
reevaluated thyroid scan to look at the importance of
thyroid scan. The results are summerised as follows: 1)
80%. of hyperthyroid patients had hyperthyroidism
increased RAIU with even density, they are compatible
with Graves' disease. 2) 2.1% of hyperthyroid patients
had normal or decreased RAIU, which are classfied as
high iodine turn over genuine hyperthyroidism. 3) 8.5%
of hyperthyroid patients had markedly decreased RAIU at
both 2 hour and 24 hour, whose patholgic processes are
suggested to be heterogenous namely subacute
thyroiditis, postpartum thyroiditis, Hashimotos
thyroiditis, and pamless thyroiditis. 4) 45% of
hypothyroid patients had increased 24hr RAIU, 30% of
hypothyroid patients were normal, 25%, decreased In
conclusion. thyroid scan should be reevaluated its
useful role to asses the pathophysiologic status of
thyroid disease. Especially in cases of transient
thyrotoxicosis, thyroid scan is essential to diagnose
and follow up the disease process. |
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Full text Article |
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