表现诊断（Performance diagnosis）.docVIP

表现诊断（Performance diagnosis） What are the manifestations of hyperthyroidism and how to diagnose? 1. classification of hyperthyroidism (1) thyroid hyperthyroidism: the hyperthyroidism of thyroid gland, the synthesis and secretion of hormone increase. The diffuse goiter with hyperthyroidism: also known as diffuse toxic goiter, nodular goiter, Grayes disease and Basedow disease. This type is the most common in hyperthyroidism, accounting for about 90%, mainly due to autoimmune mechanism, the patient can often detect thyroid stimulating hormone (TSH) receptor antibody (TRAb). Patients often have high metabolic syndrome, exophthalmos, typical symptoms of diffuse thyroid enlargement. Multiple nodular goiter accompanied by hyperthyroidism: also called toxic nodular goiter and Plummer disease. This type of etiology is unknown and is common in patients who have been suffering from thyroid nodules for many years. In rare, slow onset, mild symptoms, rare exophthalmos. Thyroid radionuclide imaging visible thyroid absorption 131I showed mild diffuse increased, but scattered in nodular concentration, TSH or exogenous thyroid hormone can not change the iodine absorption function. Autonomous high functioning thyroid adenoma or nodules: this type of etiology is unknown, and most of the patients are solitary adenoma and occasionally have multiple nodules. More common in middle-aged women, slow onset, mild symptoms, no exophthalmos, with more T3 type of hyperthyroidism. Thyroid scintigraphy showed visible thyroid solitary hot nodules (nodule 131I concentration), occasionally showed multiple hot nodule, while the remaining gland of the iodine absorption function to reduce or disappear; the nodules do not accept the TSH regulation, so that the function of high autonomy. The neonatal hyperthyroidism: suffering from hyperthyroidism in pregnant women newborns can suffer from hyperthyroidism, its occurrence rate and the concentration of TRAb is closely related to the mothers body, because TR