“糖友”怕冷,警惕“甲减”
Tangniaobing Zhiyou(2012)
Abstract
冬季怕冷是"甲减"惹的祸去年冬天,有位老年女性糖尿病患者因为最近血糖不稳定来就诊,就诊时她用嘶哑、低沉、缓慢、发音不清的语调向医生诉说着:"今年的冬天真是冷啊,怎么就觉得像待在冰窖里一样",医生抬头看看这位患者,发现她的头发干燥、稀疏,皮肤蜡黄、粗糙,鼻、唇增厚,舌大,面部表情较呆板,随来的家属也反映入冬后,她特别怕冷,记忆力明显下降,特别爱睡,人还长胖了,医生让患者卷起袖子和裤腿,见她整个前臂和下肢的皮肤为多鳞屑样改变,医生建议患者查甲状腺功能和甲状腺抗体,结果显示患者为原发性甲状腺功能减退,给予左旋甲状腺素片替代治疗,上述症状逐渐缓解.
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