Rheumatoid arthritis, type 1 diabetes, and Graves' disease after acute parvovirus B19 infection
2005; Elsevier BV; Volume: 366; Issue: 9487 Linguagem: Inglês
10.1016/s0140-6736(05)67184-x
ISSN1474-547X
AutoresYasuhiko Munakata, Takao Kodera, Takako Saitô, Takeshi Sasaki,
Tópico(s)Blood groups and transfusion
ResumoIn August, 2001, a 40-year-old Japanese woman, whose son had an episode of erythema infectiosum 2 weeks previously, complained of a slight fever with pain and swelling in the joints of her fingers, wrists, elbows, and knees. She was previously healthy and took no medication. Blood tests showed mild anaemia. Dipstick and microscopy of urine showed no abnormalities. Serological tests showed IgM antibodies to human parvovirus B19 and B19 DNA, but no IgM antibodies to cytomegalovirus, Epstein Barr virus, rubella, measles, or Coxsackie viruses. 2 weeks later, she had tachycardia and increased serum concentrations of free triiodothyronine and thyroxine, but thyroid-stimulating hormone (TSH) was very low (<0·03 IU/mL). Anti-TSH receptor antibody was 32·7% (normal, <15%), and we gave her thiamazole. The pain and swelling in her joints and morning stiffness persisted.
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