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A Case of Graves’ Disease Diagnosed in the Course of Bilateral Carotid Artery Stenoses (Moyamoya Disease); A Case Report and Review of the Literature
- Source :
- Clinical Pediatric Endocrinology
- Publication Year :
- 2013
- Publisher :
- The Japanese Society for Pediatric Endocrinology, 2013.
-
Abstract
- 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.
- Subjects :
- medicine.medical_specialty
Pediatrics
endocrine system
Triiodothyronine
endocrine system diseases
business.industry
Endocrinology, Diabetes and Metabolism
Carotid arteries
Graves' disease
Thyroid Crisis
Trab
Disease
medicine.disease
anti-thyrotropin receptor antibody
Surgery
Moyamoya disease
Endocrinology
Pediatrics, Perinatology and Child Health
EDAS
Medicine
Original Article
business
Graves’ disease
Subjects
Details
- Language :
- English
- ISSN :
- 13477358 and 09185739
- Volume :
- 22
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Clinical Pediatric Endocrinology
- Accession number :
- edsair.doi.dedup.....9bf4aa5d29146b7cefd29f1ede94f99d