Evaluation of oxidative stress parameters in subacute thyroiditis patients

Dağdeviren, Murat; Koca, Arzu Or; Akkan, Tolga; Ateş, İhsan; Neşeli̇oğlu, Salim; Erel, Özcan; Altay, Mustafa

doi:10.1530/endoabs.63.p773

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“…Consequently, it can be thought that coronary heart disease may be aggravated such as angina and acute myocardial infarct. 8 This case showed the presence of type 2 diabetes mellitus (T2DM) and multi-vessel coronary artery disease (CAD). Patients withT2DM have been said to have rather multi-vessel CAD.…”

Section: Discussionmentioning

confidence: 98%

“…Thus, the situation of hyperthyroidism gives oxidative stress for cardiovascular system. 8 There was a study of peripheral blood leukocyte classification at the onset and diagnosis of subacute thyroiditis. 10 Neutrophilto-lymphocyte ratio (NLR), a novel marker of inflammation, was studied in 75 cases of subacute thyroiditis and 75 cases of normal control.…”

Section: Discussionmentioning

confidence: 99%

“…Among them, we have experienced a meaningful case of subacute thyroiditis associated with coronary heart diseases. 8 This study describes a 72-year-old man having several medical problems and discusses characteristic points.…”

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confidence: 99%

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Authors have continued medical practice for many patients with a variety of diseases. Among them, we have experienced a meaningful case of subacute thyroiditis associated with coronary heart diseases. 8 This study describes a 72-year-old man having several medical problems and discusses characteristic points. Case presentationThe case is a 72-year-old male. His chief complaint was fever and sore throat. As to past history, he did not have cardiovascular disease (CVD), or not feel related symptom concerning CVD. From mid-January 2019, he developed fever, sore throat and immigrating neck pain. These symptoms were persisted for a few days, without strong occipital headaches, chest pain, chest oppression, nausea, vomiting, visual changes, rash, or others. He did not perceive chest pain, shortness of breath (SOB), or other remarkable cardiovascular symptoms. Further, he did not feel apparent symptom of irritability, increased sweating, eye discomfort, abdominal pain or diarrhea.His vitals were as follows: pulse rate 96 per minute, body temperature 38.8 C, blood pressure 146/90, respiration and SpO 2 normal. Physical examination revealed slight tenderness in thyroid, and lung, heart, abdomen and neurological findings unremarkable. His thyroid function revealed elevated levels of free T3 and free T4, which was 10.7pg/mL, and 5.4ng/dL, respectively. He was thought to be probable subacute thyroiditis. 1,5 As a result of thyroid echocardiography, the right lobe of the thyroid gland was predominantly enlarged, and multiple hypoechoic regions were present inside. Further, no abscess was found in the bilateral thyroid lobe, suggesting subacute thyroiditis or acute exacerbation of Hashimoto's disease. From the above laboratory and echogenic findings with clinical situations, he was diagnosed as subacute thyroiditis.Blood examination was held at the diagnosis of subacute thyroiditis, and the results were shown in Table 1. Among them, elevated free T3 and free T4, low TSH, elevated CRP and white blood cells, elevated LDL, TG, total-cholesterol, blood glucose, and low CPK were observed. Thyroid autoantibodies were as follows: Thyroglobulin (TG) antibodies 626IU/mL (< 27.9), Thyroid peroxidase (TPO) antibody 11.2IU/mL (<15.9). These remarkable values are considered to be consistent with the pathology of subacute thyroiditis. In the

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%