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亚急性甲状腺炎(de Quervain 甲状腺炎)的病人有时会缺乏全身症状,或可能单独出现甲状腺功能亢进(下简称甲亢)的症状,造成其它原因所致的甲亢与其鉴别有困难.从而导致误诊和处理不当。由于亚急性甲状腺炎病人的甲亢是短时期的,如有一个能反映这种情况的指标,则将有利于与其它慢性甲亢(例如 Graves 病)相鉴别。慢性甲亢病人的红细胞锌浓度是降低的,由于血循环中红细胞的生命周期较长,其锌浓度有可能反映甲状腺在几个月时期内的功能情况。因此,红细胞锌浓度可用于鉴别暂时性甲亢和持续2～3个月以上的慢性甲亢。过去作者曾报告通过检舅红细胞锌浓度,来鉴别妊娠剧吐相关的暂时性甲亢与原有的甲状腺毒症。本文报告了亚急性甲状腺炎相关的暂时性甲亢病人红细胞锌浓度的测定结果。
Patients with sub-acute thyroiditis (de Quervain’s thyroiditis) sometimes lack systemic symptoms or may develop symptoms of hyperthyroidism alone, making it difficult to identify hyperthyroidism due to other causes, leading to misdiagnosis and management improper. Since hyperthyroidism in patients with subacute thyroiditis is short-lived, an indication of this may be to differentiate from other forms of chronic hyperthyroidism, such as Graves’ disease. Chronic hyperthyroidism patients with decreased red blood cell zinc concentration, due to the longer life cycle of red blood cells in the blood circulation, the zinc concentration may reflect the thyroid function in a few months period. Therefore, the red blood cell zinc concentration can be used to identify temporary hyperthyroidism and sustained 2 to 3 months of chronic hyperthyroidism. In the past, the author once reported that the concentration of zinc in erythrocytes of the uniforms used to identify the temporary hyperthyroidism associated with hyperemesis gravidarum and the original thyrotoxicosis. This article reports subcutaneous acute thyroiditis-related hyperthyroidism patients erythrocyte zinc concentration determination results.