HAIR-AN综合征、白癜风、甲状腺功能减退并发1例

发布时间：2019-02-20 18:06

【摘要】：患者女,18岁。颈部、腋窝、腹股沟皮肤肥厚、色素沉着8年,颈部皮肤色素沉着表面白色斑片2年。皮肤科情况:颈部、腋窝、腹股沟皮肤肥厚、色素沉着,呈绒毛样增生。颈部皮肤色素沉着表面见约4.5cm×3.0cm大小的色素脱失斑,周边见色素沉着晕。实验室检查:空腹和餐后2h血胰岛素水平分别为38.59μIU/mL(正常值2.0~30.5μIU/mL)和136μIU/mL(正常值11.5~99.65μIU/mL)。血睾酮水平113.5ng/dL(正常值10.0~75.0ng/dL)。3T功能:血清促甲状腺激素(TSH)100μIU/mL(正常值0.34~5.60μIU/mL),FT3 2.9pmol/L(正常值3.8~6.0pmol/L),FT4 2.8pmol/L(正常值7.9~14.4pmol/L)。诊断:HAIR-AN综合征、白癜风、甲状腺功能减退并发。
[Abstract]:The patient was 18 years old. Cervical, axillary, inguinal skin hypertrophy, pigmentation 8 years, cervical skin pigmentation surface white spot for 2 years. Dermatology: cervical, axillary, inguinal skin hypertrophy, pigmentation, villous hyperplasia. The pigmentation surface of the neck was about the size of 4.5cm 脳 3.0cm and the pigmentation halo was seen around it. Laboratory examination: fasting and postprandial insulin levels were 38.59 渭 IU/mL (normal 2.0 卤30.5 渭 IU/mL) and 136 渭 IU/mL (11.5 卤99.65 渭 IU/mL), respectively. Serum testosterone level 113.5ng/dL (normal 10.0~75.0ng/dL). 3T function: serum thyrotropin (TSH) 100 渭 IU/mL (normal value 0.34 卤5.60 渭 IU/mL), FT3 2.9pmol/L (normal 3.8~6.0pmol/L), FT4 2.8pmol/L (normal 7.9~14.4pmol/L). Diagnosis: HAIR-AN syndrome, vitiligo, hypothyroidism.
【作者单位】：辽宁医学院附属第一医院皮肤性病科;
【分类号】：R581.2;R758.41

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