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The Journal of Internal Korean Medicine > Volume 28(3); 2007 > Article
Case Report
The Journal of Internal Korean Medicine 2007;28(3): 624-631.
불현성 갑상선기능저하증이 병발한 고령의 뇌졸중 환자의 호전 1례
우성호1, 김병철1, 심효주1, 나유진1, 강래엽1, 김진원1, 서호석1, 김용호1, 김정욱2
1국립의료원 한방진료부 내과
2동국대학교 한의과대학 침구학교실
A Case Report of Cerebral Infarction in an Elderly Patient with Subclinical Hypothyroidism
Sung-ho Woo1, Byung-chul Kim1, Hyo-ju Shim1, Eu-jin Na1, Rae-yeop Kang1, Jin-won Kim1, Ho-seok Seo1, Yong-ho Kim1, Jung-uk Kim2
1Department of Oriental Internal Medicine, National Medical Center
2Department of Acupunture & Moxibustion, College of Oriential medicine, Dongguk University
Correspondence  Yong-ho Kim ,Tel: 02-2260-7454, Fax: 02-2260-7464, Email: casamiller@hanmail.net
  Published online: September 30, 2007.
ABSTRACT
Hypothyroidism is a common disease of the endocrinal system, characterized by fatigue, cold intolerance, bradycardia, and so on. Subclinical hypothyroidism is a common biochemical abnormality which can be found in routine screening tests of thyroid function. It is defined as an asymptomatic state which characterized by normal free thyroxine(FT4) and elevated thyroid stimulating hormone(TSH) levels. The purpose of this study was to evaluate the effect of treatment with palmijihwang-tang and to observe the changes in triiodothyronine(T3), free thyroxine(FT4), thyroid stimulating hormone(TSH) level and VAS of cold intolerance, hoarseness, dry skin. After the treatment, triiodothyronine(T3) increased from 57.12ng/dl to 120.53ng/dl. Free thyroxine(FT4) increased from 12.59pg/ml to 14.21pg/ml. Thyroid stimulating hormone(TSH) decreased from 10.61mU/L to 1.57mU/L. Cold intolerance, hoarseness and dry skin changed for the better. These results support a role for oriental medical therapy in treating subclinical hypothyroidism. Further case studies of herbal treatment of this ailment are needed.
Key words: subclinical hypothyroidism, thyriod function test, palmijihwangtang
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