| Hyperemesis gravidarum presenting as jaundice and transient hyperthyroidism complicated with acute pancreatitis. | |
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MedLine Citation:
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PMID: 15818435 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Hyperemesis gravidarum is an extreme form of nausea and vomiting during pregnancy. Its presenting symptoms include vomiting, disturbed nutrition, electrolyte imbalance, ketosis, extreme weight loss, renal and/or liver damage. It is rare for a hyperemesis gravidarum patient to present with jaundice, hyperthyroidism and idiopathic acute pancreatitis during the same hospitalization period. Here, we report such a case. A 25-year-old pregnant woman without underlying liver or thyroid disease was admitted due to jaundice noted for 2 days at 8 weeks of gestational age. Hyperthyroidism symptoms of tachycardia and finger tremor also bothered her. After treatment with parenteral fluid and antithyroid agents, her clinical condition improved. However, an episode of idiopathic pancreatitis occurred after nausea and vomiting subsided. Bowel rest with parenteral fluid and nutrition supplement was given and the increased pancreatic enzyme level gradually subsided. Follow-up liver and thyroid function were normal after gestational age of 26 weeks. She delivered a healthy female baby without low birth body weight at gestational age of 39 weeks. Rapid diagnosis and supportive care are important for the hyperemesis gravidarum patient with the complication of acute pancreatitis. |
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Authors:
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Meng Tzu Weng; Shu Chen Wei; Jau Min Wong; Tien Chun Chang |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of the Formosan Medical Association = Taiwan yi zhi Volume: 104 ISSN: 0929-6646 ISO Abbreviation: J. Formos. Med. Assoc. Publication Date: 2005 Mar |
Date Detail:
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Created Date: 2005-04-08 Completed Date: 2005-06-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9214933 Medline TA: J Formos Med Assoc Country: China |
Other Details:
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Languages: eng Pagination: 194-7 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adult Female Humans Hyperemesis Gravidarum / complications*, diagnosis Hyperthyroidism / complications*, diagnosis Jaundice / complications*, diagnosis Pancreatitis / complications*, diagnosis Pregnancy Pregnancy Complications / diagnosis* Pregnancy Outcome |
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