Graves Hastalığında Total Tiroidektomi Sonrası Cerrahi Stres ve Levotiroksin Tedavisinin Tetiklediği Akut Adrenal Kriz Olgusu
Özet
Tirotoksikoz, dolaşımdaki tiroid hormonlarının artmış düzeyi sonucu gelişen klinik bir sendromdur; en sık nedeni otoimmün bir hastalık olan Graves hastalığıdır. Bu olgu sunumunda, antitiroid ilaç yan etkileri nedeniyle terapötik plazma değişimi (plazmaferez) ve ardından total tiroidektomi uygulanan genç bir kadın hastada postoperatif dönemde gelişen primer adrenal yetmezlik tablosu ele alınmıştır. Olgumuz, otoimmün poliglandüler sendrom zemininde cerrahi stres ve levotiroksin tedavisinin tetiklediği dekompanse primer adrenal yetmezliğin klinik kriz tablosuna ilerleyişi açısından önemli tanısal ve yönetimsel çıkarımlar sunmaktadır.
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