지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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We report a 44-year-old woman with massive ascites, elevated serum carbohydrate antigen 125 (CA 125) concentrations, pericardial effusion, and junctional bradycardia. Ascites caused by hypothyroidism are rare, and the pathogenesis is unclear. The ascitic fluid showed elevated total protein concentrations and a high serum-ascites albumin gradient. The massive ascites and increased serum, ascitic, and pericardial CA 125 concentrations led us to make an incorrect presumptive diagnosis of an ovarian malignancy with metastasis. However, there was no evidence of malignancy except the elevated CA 125 level. Similar to ascites, also junctional escape rhythm with marked bradycardia is a very rare feature of hypothyroidism. Following thyroid hormone replacement, the ascites and serum CA 125 gradually decreased, and the heart rhythm returned to sinus bradycardia. We report this case with a brief review of the literature. (Korean J Med 2011;81:641-646)
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참고문헌 (14)
참고문헌 신청
Basaran A / 2006 / SLE and CA-125 / Gynecol Oncol 100 : 444 ~ 445
De Castro F / 1991 / Myxedema ascites: report of two cases and review of the literature / J Clin Gastroenterol 13 : 411 ~ 414
Depczynski B / 1996 / The association between myxedematous ascites and extreme elevation of serum tumor markers / J Clin Endocrinol Metab 81 : 4175 ~
Hashimoto T / 1989 / Changes in the tumor marker concentration in female patients with hyper-, eu-, and hypothyroidism / Endocrinol Jpn 36 : 873 ~ 879
Kanehara H / 2007 / Myxedema ascites with an extremely elevated CA125 level: a case report / Endocr J 54 : 601 ~ 604
De Castro F / 1991 / Myxedema ascites: report of two cases and review of the literature / J Clin Gastroenterol 13 : 411 ~ 414
Depczynski B / 1996 / The association between myxedematous ascites and extreme elevation of serum tumor markers / J Clin Endocrinol Metab 81 : 4175 ~
Hashimoto T / 1989 / Changes in the tumor marker concentration in female patients with hyper-, eu-, and hypothyroidism / Endocrinol Jpn 36 : 873 ~ 879
Kanehara H / 2007 / Myxedema ascites with an extremely elevated CA125 level: a case report / Endocr J 54 : 601 ~ 604
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