亚急性甲状腺炎同时合并Graves病的临诊应对

Approach to the patient of subacute thyroiditis combined with Graves＇ disease

同时发生的亚急性甲状腺炎和Graves病罕见。通过报告1例亚急性甲状腺炎同时合并Graves病病例，并结合其他文献所报道的同时发生的亚急性甲状腺炎和Graves病病例，探讨其临床特点及诊疗注意事项，亚急性甲状腺炎考虑可能合并存在Graves病时，应行甲状腺摄碘率、甲状腺自身免疫性抗体、甲状腺细针穿刺活检及甲状腺核素显像等检查，以明确诊断，并根据甲状腺功能变化，适时调整治疗方案。

Simultaneous concurrence of subacute thyroiditis and Graves＇ disease is rare. We present one case of subaeute thyroiditis with Graves＇ disease and combine with other reports to explore the clinical characteristics and therapeutic considerations. If subacute thyroiditis is considered coexisting simultaneously with Graves＇ disease, radioactive iodine uptake, thyroid autoantibody, fine-needle aspiration of thyroid gland, thyroid nuclide imaging examination, etc, should be done to make correct diagnosis and to adjust the therapeutic plan.