Case 38-2010 — A 13-Year-Old Girl with an Enlarging Neck Mass  

Oleh:

Cabot, Richard C. ; Founder ; Harris, Nancy Lee ; Shepard, Jo-Anne O.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 363 no. 25 (Dec. 2010), page 2445-2454.
Topik: Pediatric Endocrinology; Pain on Swallowing

Ketersediaan

Perpustakaan FK Nomor Panggil: N08.K.2010.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Presentation of Case Dr. Michelle L. Katz (Pediatrics): A 13-year-old girl was seen in the pediatric endocrinology clinic of this hospital because of an enlarging neck mass. Eight days earlier, the patient noted swelling of her neck and pain on swallowing. Two days later, her primary care provider noted that the patient had an enlarged thyroid gland. The level of serum thyrotropin was 5.59 µIU per milliliter (reference range, 0.28 to 3.89), free thyroxine 0.88 ng per deciliter (reference range, 0.58 to 1.64), and total triiodothyronine 159 ng per deciliter (reference range, 87 to 178). The anti–thyroid peroxidase antibody level was 244 IU per milliliter (reference range, <35), and the antithyroglobulin antibody level was greater than 3000 IU per milliliter (reference range, <40); complete blood count and electrolyte levels were normal. The patient was referred to the pediatric endocrinology unit at this hospital, where she was seen 5 days later. The patient reported tightness in her neck and occasional nausea but no difficulty breathing or swallowing. She did not have a sensation of feeling hot or cold; changes in weight, appetite, degree of thirst, energy level, hair, or skin; palpitations; diarrhea; constipation; abdominal pain; vomiting; urinary frequency; skin lesions; or musculoskeletal symptoms.

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