A Case of Graves’ Disease Diagnosed in the Course of Bilateral Carotid Artery Stenoses (Moyamoya Disease); A Case Report and Review of the Literature

A 14-year-old boy was admitted to our hospital after being diagnosed at a local clinic with bilateral carotid artery stenoses (Moyamoya disease) and mild thyrotoxicosis. A blood examination showed suppressed TSH and elevated triiodothyronine and thyroxine levels; however, he was negative for anti-th...

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Autores principales: Kamasaki, Hotaka, Takeuchi, Takako, Mikami, Takeshi, Komeichi, Katsuhide, Tsutsumi, Hiroyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society for Pediatric Endocrinology 2013
Materias:
Original Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3748282/
https://www.ncbi.nlm.nih.gov/pubmed/23966756
http://dx.doi.org/10.1297/cpe.22.39
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author Kamasaki, Hotaka
Takeuchi, Takako
Mikami, Takeshi
Komeichi, Katsuhide
Tsutsumi, Hiroyuki
author_facet Kamasaki, Hotaka
Takeuchi, Takako
Mikami, Takeshi
Komeichi, Katsuhide
Tsutsumi, Hiroyuki
author_sort Kamasaki, Hotaka
collection PubMed
description A 14-year-old boy was admitted to our hospital after being diagnosed at a local clinic with bilateral carotid artery stenoses (Moyamoya disease) and mild thyrotoxicosis. A blood examination showed suppressed TSH and elevated triiodothyronine and thyroxine levels; however, he was negative for anti-thyrotropin receptor antibody (TRAB) and thyroid stimulating antibody (TSAB). Concern about a possible thyroid crisis led us to administer thiamazole (MMI) and potassium iodide (KI), following which encephalo-duro-arterio-synangiosis (EDAS) of the left side was performed successfully. After about 1 mo, he became positive for TRAB and TSAB. He was thought to have Graves’ disease and Moyamoya disease coincidentally. Several factors are considered to be involved in the coincidental onset of these two diseases.
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spelling pubmed-37482822013-08-21 A Case of Graves’ Disease Diagnosed in the Course of Bilateral Carotid Artery Stenoses (Moyamoya Disease); A Case Report and Review of the Literature Kamasaki, Hotaka Takeuchi, Takako Mikami, Takeshi Komeichi, Katsuhide Tsutsumi, Hiroyuki Clin Pediatr Endocrinol Original Article A 14-year-old boy was admitted to our hospital after being diagnosed at a local clinic with bilateral carotid artery stenoses (Moyamoya disease) and mild thyrotoxicosis. A blood examination showed suppressed TSH and elevated triiodothyronine and thyroxine levels; however, he was negative for anti-thyrotropin receptor antibody (TRAB) and thyroid stimulating antibody (TSAB). Concern about a possible thyroid crisis led us to administer thiamazole (MMI) and potassium iodide (KI), following which encephalo-duro-arterio-synangiosis (EDAS) of the left side was performed successfully. After about 1 mo, he became positive for TRAB and TSAB. He was thought to have Graves’ disease and Moyamoya disease coincidentally. Several factors are considered to be involved in the coincidental onset of these two diseases. The Japanese Society for Pediatric Endocrinology 2013-08-01 2013-07 /pmc/articles/PMC3748282/ /pubmed/23966756 http://dx.doi.org/10.1297/cpe.22.39 Text en 2013©The Japanese Society for Pediatric Endocrinology http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License.
spellingShingle Original Article
Kamasaki, Hotaka
Takeuchi, Takako
Mikami, Takeshi
Komeichi, Katsuhide
Tsutsumi, Hiroyuki
A Case of Graves’ Disease Diagnosed in the Course of Bilateral Carotid Artery Stenoses (Moyamoya Disease); A Case Report and Review of the Literature
title A Case of Graves’ Disease Diagnosed in the Course of Bilateral Carotid Artery Stenoses (Moyamoya Disease); A Case Report and Review of the Literature
title_full A Case of Graves’ Disease Diagnosed in the Course of Bilateral Carotid Artery Stenoses (Moyamoya Disease); A Case Report and Review of the Literature
title_fullStr A Case of Graves’ Disease Diagnosed in the Course of Bilateral Carotid Artery Stenoses (Moyamoya Disease); A Case Report and Review of the Literature
title_full_unstemmed A Case of Graves’ Disease Diagnosed in the Course of Bilateral Carotid Artery Stenoses (Moyamoya Disease); A Case Report and Review of the Literature
title_short A Case of Graves’ Disease Diagnosed in the Course of Bilateral Carotid Artery Stenoses (Moyamoya Disease); A Case Report and Review of the Literature
title_sort case of graves’ disease diagnosed in the course of bilateral carotid artery stenoses (moyamoya disease); a case report and review of the literature
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3748282/
https://www.ncbi.nlm.nih.gov/pubmed/23966756
http://dx.doi.org/10.1297/cpe.22.39
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