This is an automatically translated article.
The article was professionally consulted with Master, Doctor Do Xuan Chien - Head of Department of Medical Examination & Internal Medicine - Vinmec Ha Long International General Hospital.Basedow's disease is an autoimmune disease, characterized by hyperthyroidism due to the presence and circulation of thyroid-stimulating antibodies in the blood. This is a common pathology in endocrine diseases, accounting for about 10-30% of thyroid diseases and is characterized by diffuse goiter.
1. Some facts about basedow's disease
Basedow is a common disease in internal diseases in general and endocrine diseases in particular. The disease is more common in women than men (80%), especially young women from 21 to 30 years old. The disease is closely related to estrogen levels in women.
There are many factors that cause disease such as: genetic, immune, environmental factors... that change antigenicity and foreign antigen presentation on the surface of thyroid cells, stimulate the body's immune system can produce autoantibodies to the hormone TRAb. TRAb binds to the TSH hormone receptor at the thyroid cell membrane, stimulates thyroid cells to grow in number, enhances functional activity, synthesizes and releases many thyroid hormones into the blood, causing the clinical manifestations of thyrotoxicosis and autoimmune manifestations.
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Nguồn tham khảo: webmd.com
2. Manifestations of Basedow's disease
Graves' disease often has manifestations of hyperthyroidism, with symptoms: eating well, mental instability, heart rate faster than 90 times / min, heart pounding sound, increased blood pressure, appearance of diffuse goiter. (Goiter is a common sign in about 80% of Graves' patients, the extent of goiter may change after being treated, especially in newly ill patients), tremor in the extremities, weight loss weight despite eating normally or eating a lot, bulging eyes, mood swings or irritability or falling into a state of depression, temperature regulation disorder with hot and humid skin, slight increase in temperature, digestive disorders chemistry, sexual disorders manifested by decreased libido, menstrual disorders...3. Is basedow's goiter dangerous?
Basedow is a very dangerous disease for the cardiovascular system, if not treated or treated improperly, the patient will die in a state of heart failure, exhaustion and especially in the state of thyroid storm, a variable severe symptoms of the disease. When suffering from a thyroid storm, the patient will have a high fever of 40 - 41 degrees Celsius, mental panic, anxiety or intense excitement, heart beats very fast...
4. Diagnosis of Basedow's disease
When having the above signs, the patient needs to quickly go to the hospital to perform paraclinical measures to help diagnose the disease more accurately. The subclinical diagnoses are made in the hospital such as:
Hormone diagnostic tests. Thyroid scan Thyroid ultrasound , Doppler ultrasound of thyroid vessels Electrocardiogram . X-ray Liver enzyme test... From the tests with abnormal indicators, the doctor will determine whether you have goiter, basedow or not, the stage of the disease to give a reasonable and safe treatment regimen. complete and effective.
5. Thyroid scan helps accurately diagnose Graves' disease
Thyroid scintigraphy is a very useful method to evaluate thyroid function, evaluate thyroid nodules. To take pictures of the thyroid gland, doctors will use radiopharmaceuticals such as l-131 or Technetium - 99m (Tc99m).
Thyroid scintigraphy will determine the location, shape, and size of the thyroid gland, evaluate its function, and image the thyroid in patients with simple goiter, hyperthyroidism, Graves' goiter, hypothyroidism. .... In addition, thyroid scan also helps detect thyroid cancer early.
6. Why should thyroid scan at Vinmec Times City?
Vinmec Times City International General Hospital uses the SPECT/CT Discovery NM/CT 670 Pro system, with the most modern 16-strip CT technology of the world's leading medical equipment company GE Healthcare (USA), for High quality images, helping to diagnose thyroid diseases early.
The medical staff at Vinmec are experienced, well-trained and specialized at home and abroad, giving advice and maximum support to customers, even foreign customers.
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