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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...
Autores principales: | , , , |
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Formato: | Texto |
Lenguaje: | English |
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Korean Society of Neurogastroenterology and Motility
2010
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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 |
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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 |
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