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Dergiler / Bezmiâlem Science / 2018 / Cilt: 6 - Sayı: 4

Successful Preoperative Treatment by Plasmapheresis of Hyperthyroidism with Hydatidiform Mole

Molar Gebelik Sonucu Gelişen Hipertiroidizm Olgusunda Plazmaferez Tedavisi

Cem Onur KİRAC
SÜLEYMAN BALDANE
AYŞE GÜL KEBAPCILAR
SÜLEYMAN HİLMİ İPEKÇİ
MUSTAFA GAZİ UÇAR
ÇETİN ÇELİK
LEVENT KEBAPCILAR
Sayfa
320–322
DOI
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Yapay Zeka Hızlı Bakış & Çıkarımlar

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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

The patient is currently stable, and her hCG and thyroid hormone levels are within normal reference ranges.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:We recently encountered the case of an 18-year-old female com- plaining of abdominal pain, fatigue, nausea, vomiting, tremor of the hands, and vaginal bleeding.
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Temel Bulgular & Veri:Her blood test revealed highly elevated human chorionic gonadotropin (hCG) levels, suppressed thyroid-stimulating hormone (TSH) levels, and in- creased free thyroid hormone levels.
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Sonuç & Katkı:The patient is currently stable, and her hCG and thyroid hormone levels are within normal reference ranges.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

We recently encountered the case of an 18-year-old female com- plaining of abdominal pain, fatigue, nausea, vomiting, tremor of the hands, and vaginal bleeding. Her blood test revealed highly elevated human chorionic gonadotropin (hCG) levels, suppressed thyroid-stimulating hormone (TSH) levels, and in- creased free thyroid hormone levels. Molar pregnancy and hyper- thyroidism were suspected based on highly elevated hCG levels and suppressed TSH levels with the co-existence of ultrasono- graphic findings of the uterus and thyroid Doppler images. Her symptoms and thyroid hormone levels responded well to plas- mapheresis. Subsequently, the patient underwent dilatation and curettage for hydatidiform mole. Histopathology of the products verified the diagnosis of complete hydatidiform mole with no in- vasion. The patient is currently stable, and her hCG and thyroid hormone levels are within normal reference ranges.

Abstract

18 yaşında kadın hasta karın ağrısı, yorgunluk, bulantı, kusma, ellerde titreme ve vajinal kanama şikayeti ile başvurdu. Laboratu- var tetkiklerinde artmış human chorionic gonadotropin (hCG), baskılanmış tiroid stimulan hormon (TSH) ve artmış serbest ti- roid hormon düzeyleri görüldü. Laboratuar tetkikleri ile birlikte tiroid doppler ve uterus ultrasonografi incelemesi sonucunda molar gebelik sonucu gelişen hipertiroidizm tanısı düşünüldü. Plazmaferez tedavisi ile hastanın semptomların da düzelme ve serbest tiroid hormonlarında normal düzeye gerileme sağlandı. Plazmaferez tedavisi sonrası hastaya dilatasyon ve küretaj tedavisi uygulandı. Histopatolojik incelemede non-invaziv mol hidati- form tanısı doğrulandı.

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Bu Makaleye Atıf Yap

KİRAC, C. O., BALDANE, S., KEBAPCILAR, A. G., İPEKÇİ, S. H., UÇAR, M. G., ÇELİK, Ç., KEBAPCILAR, L. (2018). Successful Preoperative Treatment by Plasmapheresis of Hyperthyroidism with Hydatidiform Mole. Bezmiâlem Science, Cilt: 6 - Sayı: 4, 320–322. https://ajindex.com/articles/150113

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