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Journal of Korean Society of Endocrinology ; : 294-298, 2005.
Artículo en Coreano | WPRIM | ID: wpr-158545

RESUMEN

Human chorionic gonadotropin(HCG) is a member of the glycoproteins family synthesized by the placenta, which consists of 2 noncovalently joined subunits(alpha(alpha) and beta(beta)). The alpha- and beta-subunits have a structural homology with the alpha- and beta-subunits of TSH and LH. The thyrotropic action of HCG results from its structural similarity to TSH, so beta-HCG can bind to the TSH receptor in the thyroid gland. A high level of HCG accompanied by an increased thyroid hormone level, can be observed in gestational trophoblastic disease (GTD), such as a hydatidiform mole or a choriocarcinoma, but the clinical symptoms of hyperthyroidism are rarely observed. We experienced a case of Hashimoto's thyroiditis, where the patient was diagnosed with T3-thyrotoxicosis, which had initially been induced by excess beta-HCG due to an H-mole; after evacuation of the H-mole, the condition was diagnosed as hypothyroidism. It has been speculated that a patient with Hashimoto's thyroiditis could have hyperthyroidism, induced by beta-HCG, due to an H-mole


Asunto(s)
Femenino , Humanos , Embarazo , Coriocarcinoma , Corion , Enfermedad Trofoblástica Gestacional , Glicoproteínas , Mola Hidatiforme , Hipertiroidismo , Hipotiroidismo , Placenta , Receptores de Tirotropina , Glándula Tiroides , Tiroiditis
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