Cargando…

Thyrotoxic Vomiting: A Case Report and Possible Mechanisms

The symptoms related to gastrointestinal (GI) tract are sometimes chief complaints in patients with endocrine disease. Thyrotoxicosis is a rare, but notable cause for unexplained and repeated vomiting. Here, we report an adolescent patient with thyrotoxicosis who was initially presented with repeate...

Descripción completa

Detalles Bibliográficos
Autores principales: Shim, Soyeon, Ryu, Han Seung, Oh, Hyo Jung, Kim, Yong Sung
Formato: Texto
Lenguaje:English
Publicado: Korean Society of Neurogastroenterology and Motility 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2978397/
https://www.ncbi.nlm.nih.gov/pubmed/21103426
http://dx.doi.org/10.5056/jnm.2010.16.4.428
_version_ 1782191258537558016
author Shim, Soyeon
Ryu, Han Seung
Oh, Hyo Jung
Kim, Yong Sung
author_facet Shim, Soyeon
Ryu, Han Seung
Oh, Hyo Jung
Kim, Yong Sung
author_sort Shim, Soyeon
collection PubMed
description The symptoms related to gastrointestinal (GI) tract are sometimes chief complaints in patients with endocrine disease. Thyrotoxicosis is a rare, but notable cause for unexplained and repeated vomiting. Here, we report an adolescent patient with thyrotoxicosis who was initially presented with repeated vomiting and epigastric pain. A 13-year-old female was referred to a GI outpatient department for evaluation of vomiting and abdominal pain from a pediatric clinic. Esophagogastroduodenoscopy revealed acute gastritis with duodenogastric reflux and suspicious reflux esophagitis of minimal change, but there was no significant improvement after treatment and as a result she was admitted to the emergency room. She was subsequently diagnosed as Graves' disease because an initial laboratory test at the GI outpatient department revealed thyroid stimulating hormone < 0.01 µIU/mL and additional blood tests showed elevated thyroid hormones and positive thyroid stimulating hormone receptor antibody. The vomiting and epigastric pain improved remarkably after treatment with antithyroid drugs. Clinicians should consider the possibility of thyrotoxicosis in patient with unexplained and repeated vomiting.
format Text
id pubmed-2978397
institution National Center for Biotechnology Information
language English
publishDate 2010
publisher Korean Society of Neurogastroenterology and Motility
record_format MEDLINE/PubMed
spelling pubmed-29783972010-11-19 Thyrotoxic Vomiting: A Case Report and Possible Mechanisms Shim, Soyeon Ryu, Han Seung Oh, Hyo Jung Kim, Yong Sung J Neurogastroenterol Motil Case Report The symptoms related to gastrointestinal (GI) tract are sometimes chief complaints in patients with endocrine disease. Thyrotoxicosis is a rare, but notable cause for unexplained and repeated vomiting. Here, we report an adolescent patient with thyrotoxicosis who was initially presented with repeated vomiting and epigastric pain. A 13-year-old female was referred to a GI outpatient department for evaluation of vomiting and abdominal pain from a pediatric clinic. Esophagogastroduodenoscopy revealed acute gastritis with duodenogastric reflux and suspicious reflux esophagitis of minimal change, but there was no significant improvement after treatment and as a result she was admitted to the emergency room. She was subsequently diagnosed as Graves' disease because an initial laboratory test at the GI outpatient department revealed thyroid stimulating hormone < 0.01 µIU/mL and additional blood tests showed elevated thyroid hormones and positive thyroid stimulating hormone receptor antibody. The vomiting and epigastric pain improved remarkably after treatment with antithyroid drugs. Clinicians should consider the possibility of thyrotoxicosis in patient with unexplained and repeated vomiting. Korean Society of Neurogastroenterology and Motility 2010-10 2010-10-30 /pmc/articles/PMC2978397/ /pubmed/21103426 http://dx.doi.org/10.5056/jnm.2010.16.4.428 Text en Copyright © 2010 Korean Society of Neurogastroenterology and Motility http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Shim, Soyeon
Ryu, Han Seung
Oh, Hyo Jung
Kim, Yong Sung
Thyrotoxic Vomiting: A Case Report and Possible Mechanisms
title Thyrotoxic Vomiting: A Case Report and Possible Mechanisms
title_full Thyrotoxic Vomiting: A Case Report and Possible Mechanisms
title_fullStr Thyrotoxic Vomiting: A Case Report and Possible Mechanisms
title_full_unstemmed Thyrotoxic Vomiting: A Case Report and Possible Mechanisms
title_short Thyrotoxic Vomiting: A Case Report and Possible Mechanisms
title_sort thyrotoxic vomiting: a case report and possible mechanisms
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2978397/
https://www.ncbi.nlm.nih.gov/pubmed/21103426
http://dx.doi.org/10.5056/jnm.2010.16.4.428
work_keys_str_mv AT shimsoyeon thyrotoxicvomitingacasereportandpossiblemechanisms
AT ryuhanseung thyrotoxicvomitingacasereportandpossiblemechanisms
AT ohhyojung thyrotoxicvomitingacasereportandpossiblemechanisms
AT kimyongsung thyrotoxicvomitingacasereportandpossiblemechanisms