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已知碘剂可引起甲状腺功能亢进(甲亢)。本文报告1例外用含碘制剂(Betadine)治疗褥疮而诱发Graves 病。病例介绍患者男性,72岁。有多发性硬化症病史30年,因心房纤颤和充血性心力衰竭而入院,近5月来患者体重减轻 11kg。6个月来因骶部及踝部褥疮性溃疡用 Betadine 每日两次局部清洗,既往无服用含碘药物和应用放射造影对照剂。体检:发现充血性心力衰竭及心房纤颤的体征,两手湿暖,
Iodine agents are known to cause hyperthyroidism (hyperthyroidism). This article reports 1 case of external iodine agents (Betadine) treatment of bedsores and induced Graves disease. Case description Male patient, 72 years old. Have a history of multiple sclerosis for 30 years, hospitalized for atrial fibrillation and congestive heart failure, weight loss in the last 5 months, 11kg. Six months since the sacral and ankle decubitus ulcers with Betadine twice a day local cleaning, prior to no use of iodine-containing drugs and the application of radiocontrast contrast agent. Physical examination: Found signs of congestive heart failure and atrial fibrillation, both hands wet and warm,