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So Hee Kwon,Min-Ji Kim,Sin Yeong Jung,Jae-Han Jeon 영남대학교 의과대학 2023 Yeungnam University Journal of Medicine Vol.40 No.-
Thyroid storm is a life-threatening form of thyrotoxicosis and an endocrinological emergency. We present a case of thyroid storm in a patient with metastatic papillary thyroid cancer. A 67-year-old woman with a history of total thyroidectomy 4 years prior to presentation was admitted with deteriorating mental status, fever, and tachycardia. Laboratory tests revealed severe thyrotoxicosis. Although the patient had no residual thyroid tissue after total thyroidectomy, she had a previously diagnosed metastatic thyroid cancer lesion in the pelvic bone. Despite initial treatment with a standard thyroid storm regimen, the patient died 6 days after hospitalization. The patient had no history of Graves disease; however, a thyroxine receptor antibody was detected postmortem. The patient had a history of exposure to an iodine contrast agent, which is a rare cause of thyrotoxicosis. Thyroxine production from a differentiated thyroid carcinoma is rare but can be a source of clinically significant thyrotoxicosis in patients post-thyroidectomy. Overlapping Graves disease is a common stimulus; however, other causes, such as exogenous iodine, cannot be excluded. This case demonstrates that in the setting of metastatic thyroid carcinoma, thyrotoxicosis cannot be completely ruled out as a cause of suspicious symptoms, even in patients with a history of total thyroidectomy.
So, Jae-Seon,Kwon, Ho-Keun,Lee, Choong-Gu,Yi, Hwa-Jung,Park, Jin-A.,Lim, So-Yeon,Hwang, Ki-Chul,Jeon, Young Ho,Im, Sin-Hyeog Elsevier 2008 Molecular immunology Vol.45 No.9
<P><B>Abstract</B></P><P>Although the beneficial effects of probiotics on wide variety of diseases have been shown, little is known about how probiotics modulate the immune system. In this study we elucidated the underlying mechanisms how <I>Lactobacillus casei</I> (<I>L. casei</I>) protects against rheumatoid arthritis (RA) progression by investigating the effector functions of CD4<SUP>+</SUP> T cells. Oral administration of <I>L. casei</I> suppressed collagen-induced arthritis (CIA) and reduced paw swelling, lymphocyte infiltration and destruction of cartilage tissue. <I>L. casei</I> administration reduced type II collagen (CII)-reactive proinflammatory molecules (IL-1β, IL-2, IL-6, IL-12, IL-17, IFN-γ, TNF-α and Cox-2) by CD4<SUP>+</SUP> T cells. <I>L. casei</I> administration also reduced translocation of NF-κB into nucleus and CII-reactive Th1-type IgG isotypes IgG2a and IgG2b, while up-regulating immunoregulatory IL-10 levels. Our results suggest that oral administration of <I>L. casei</I> suppresses the type II collagen-reactive effector function of Th1-type cellular and humoral immune responses in arthritic inflammation.</P>