A Case of Consciousness Disturbance Resulting from Severe Hypothyroidism due to Chronic Thyroiditis and Excess Iodine Absorption

• Hayashi Masayuki

  Department of Endocrinology and Metabolism, Chukyo Hospital, Japan

• Onodera Kazunari

  Department of Neurology, Chukyo Hospital, Japan

• Suzuki Kengo

  Department of Neurology, Chukyo Hospital, Japan

• Kataoka Yuko

  Department of Endocrinology and Metabolism, Chukyo Hospital, Japan

• Tachikawa Kazushige

  Department of Endocrinology and Metabolism, Chukyo Hospital, Japan

• Riku Shigeo

  Department of Neurology, Chukyo Hospital, Japan

• Tanaka Hiroshi

  Department of Endocrinology and Metabolism, Chukyo Hospital, Japan

抄録

An 82-year-old Japanese man had consciousness disturbance due to severe hypothyroidism triggered by percutaneous absorption of iodine from an iodine-containing ointment used in diabetic gangrene treatment. Laboratory data revealed extremely high urinary iodine concentrations, and chronic thyroiditis-induced hypothyroidism. Excess iodine intake can also cause hypothyroidism. It was unlikely that iodine intoxication or Hashimoto's encephalopathy had caused the consciousness disturbance. The patient regained consciousness after discontinuing the use of the ointment and commencing thyroid hormone therapy. We conclude that consciousness disturbance resulted from severe hypothyroidism caused by chronic thyroiditis and excess iodine absorption.<br>

収録刊行物

• Internal Medicine

  Internal Medicine 50 (21), 2627-2632, 2011

  一般社団法人 日本内科学会

キーワード

• consciousness disturbance
• hypothyroidism
• inorganic iodine
• percutaneous absorption
• chronic thyroiditis

詳細情報

• CRID: 1390001204870695040
• NII論文ID: 130001288625
• DOI: 10.2169/internalmedicine.50.5599
• ISSN: 13497235
• ISSN: 09182918
• Web Site: http://www.jstage.jst.go.jp/article/internalmedicine/50/21/50_21_2627/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2012323377
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可