Brasil | Artículos de revistas

Coexistence of hypothyroidism and polymyositis

dc.creatorSingh, Maize Fernanda Bonim
dc.creatorFernandes, Sandra Regina M.
dc.creatorCostallat, Lilian Tereza Lavras
dc.creatorBértolo, Manoel Barros
dc.creatorQueiroz, Luciano de Souza
dc.creatorSamara, Adil Muhib
dc.date2003-10-01
dc.date2014-07-17T17:45:32Z
dc.date2015-11-26T11:45:44Z
dc.date2014-07-17T17:45:32Z
dc.date2015-11-26T11:45:44Z
dc.date.accessioned2018-03-28T20:49:28Z
dc.date.available2018-03-28T20:49:28Z
dc.identifierRevista Brasileira de Reumatologia. Sociedade Brasileira de Reumatologia, v. 43, n. 5, p. 330-333, 2003.
dc.identifier0482-5004
dc.identifierS0482-50042003000500012
dc.identifier10.1590/S0482-50042003000500012
dc.identifierhttp://dx.doi.org/10.1590/S0482-50042003000500012
dc.identifierhttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S0482-50042003000500012
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/26392
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/26392
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1235931
dc.descriptionPatients with hypothyroidism frequently present with musculoskeletal complaints and elevated serum levels of muscle enzymes, like creatine kinase (CK). With adequate hormonal treatment, the maintenance of high values of CK and muscle symptoms are uncommon. This work reports a 47-year-old woman with hypothyroidism, proximal muscle weakness and increased CK, who didn't improved with levothyroxine treatment. The diagnosis of polymyositis was based on electromyography and muscle biopsy. After treatment with prednisone plus methotrexate and increase of the levothyroxine dose, there were a clinical improvement and a normalization of CK values.
dc.descriptionPacientes com hipotiroidismo freqüentemente apresentam sintomas músculo-esqueléticos e aumento de enzimas musculares, como a creatinaquinase (CK). Com o tratamento hormonal adequado é incomum ocorrer grandes aumentos de CK e manutenção de queixas musculares. Este trabalho relata o caso de uma paciente com hipotiroidismo, queixa de fraqueza muscular proximal e aumento de CK, sem melhora clínica com uso de levotiroxina. O diagnóstico de polimiosite foi confirmado por eletroneuromiografia e biópsia muscular. Após tratamento com prednisona e metotrexato, além de adequação da dose de levotiroxina, houve melhora clínica significativa e normalização da CK.
dc.description330
dc.description333
dc.languagept
dc.publisherSociedade Brasileira de Reumatologia
dc.relationRevista Brasileira de Reumatologia
dc.rightsaberto
dc.sourceSciELO
dc.subjecthipotiroidismo
dc.subjectpolimiosite
dc.subjectmiopatias
dc.subjectfraqueza muscular
dc.subjectHypothyroidism
dc.subjectpolymyositis
dc.subjectmyopathies
dc.subjectmuscle weakness
dc.titleCoexistência de hipotiroidismo e polimiosite
dc.titleCoexistence of hypothyroidism and polymyositis
dc.typeArtículos de revistas


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