Yıl 2018,
, 71 - 72, 10.09.2018
Şenay Güven Baysal
,
Nurcan Bulur
Kaynakça
- Referans 1 Pediatric Lexi-Drugs ONLINE. Hudson (OH): American Pharmaceutical Association; 2010.
- Referans 2 Luis D.A, Duenas A, Martin J, Abad L, Cuellara L, Aller R. Light Symptoms following a High-Dose Intentional LThyroxine Ingestion Treated with Cholestyramine. Horm Res 2002; 57: 61-63.
- Referans 3 Ho J, Jackson R, Johnson D. Massive levothyroxine ingestion in a pediatric patient: case report and discussion. CJEM. 2011;13(3):165–8.
- Referans 4 Nystrom E, Lindstedt G, Lundberg P: Minor signs and symptoms of toxicity in a young woman in spite of massive thyroxine ingestion. ActaMed Scand 1980;207:135-136
- Referans 5 Litovitz TL, White JD. Levothyroxine ingestion in children: an analysis of 78 cases. Am J Emerg Med. 1985;3(4):297–300
- Referans 6 Hiassa Y, Ishida T, Aihara T, et al. Acute myocardial infarction due to coronary spasm associated with Lthyroxine therapy. Clin Cardiol 1989; 12: 161.
- Referans 7 Lewander WJ, Lacouture PG, Silva JE, Lovejoy FH. Acute thyroxine ingestion in pediatric patients. Pediatrics 1989; 84: 262.
- Referans 8 Lehrner LM, Weir MR. Acute ingestions of thyroid hor¬mones. Pediatrics 1984;73:313-317.
- Referans 9 Shilo L, Kovatz S, Hadari R, et al. Massive thyroid hor¬mone overdose: kinetics, clinical manifestations and man¬agement. Isr Med Assoc J 2002;4:298-299.
Levotiroksin Sodyum İntoksikasyonu: Olgu Sunumu
Yıl 2018,
, 71 - 72, 10.09.2018
Şenay Güven Baysal
,
Nurcan Bulur
Öz
Tiroid hormon replasman tedavisinde kullanılan ilaçların başında
levotiroksin gelmektedir. Levotiroksin maruziyeti
çok farklı klinik bulgularla seyredebilir. Olgumuzda çok miktarda
levotiroksin almış 4 yaşında erkek hastayı sunduk. Levotiroksin intoksikasyonu tanısı öykü, fizik muayene ve
laboratuar bulguları ile konulur. Uygun tedavi
protokolleri tam olarak netleşmemiştir. Olgumuz yüksek doz levotiroksin
almasına rağmen uygun tedavi ile tirotoksikoz belirtileri gelişmeden takip
edilerek ve kontrolleri planlanarak
taburcu edilmiştir.
Kaynakça
- Referans 1 Pediatric Lexi-Drugs ONLINE. Hudson (OH): American Pharmaceutical Association; 2010.
- Referans 2 Luis D.A, Duenas A, Martin J, Abad L, Cuellara L, Aller R. Light Symptoms following a High-Dose Intentional LThyroxine Ingestion Treated with Cholestyramine. Horm Res 2002; 57: 61-63.
- Referans 3 Ho J, Jackson R, Johnson D. Massive levothyroxine ingestion in a pediatric patient: case report and discussion. CJEM. 2011;13(3):165–8.
- Referans 4 Nystrom E, Lindstedt G, Lundberg P: Minor signs and symptoms of toxicity in a young woman in spite of massive thyroxine ingestion. ActaMed Scand 1980;207:135-136
- Referans 5 Litovitz TL, White JD. Levothyroxine ingestion in children: an analysis of 78 cases. Am J Emerg Med. 1985;3(4):297–300
- Referans 6 Hiassa Y, Ishida T, Aihara T, et al. Acute myocardial infarction due to coronary spasm associated with Lthyroxine therapy. Clin Cardiol 1989; 12: 161.
- Referans 7 Lewander WJ, Lacouture PG, Silva JE, Lovejoy FH. Acute thyroxine ingestion in pediatric patients. Pediatrics 1989; 84: 262.
- Referans 8 Lehrner LM, Weir MR. Acute ingestions of thyroid hor¬mones. Pediatrics 1984;73:313-317.
- Referans 9 Shilo L, Kovatz S, Hadari R, et al. Massive thyroid hor¬mone overdose: kinetics, clinical manifestations and man¬agement. Isr Med Assoc J 2002;4:298-299.