갑상선 기능 항진증

<!DOCTYPE html> <html lang="ko" data-agent="Mozilla/4.0 (compatible; MSIE 7.0; Windows NT 6.0; SLCC1; .NET CLR 2.0.50727; .NET CLR 3.0.04506; .NET CLR 3.5.21022; .NET CLR 1.0.3705; .NET CLR 1.1.4322)"> <head> <link rel="canonical" href="https://terms.naver.com/"> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"> <meta http-equiv="Content-Script-Type" content="text/javascript"> <meta http-equiv="Content-Style-Type" content="text/css"> <meta http-equiv="X-UA-Compatible" content="requiresActiveX=true;IE=edge"> <meta property="og:type" content="article"> <meta property="og:url" content="https://terms.naver.com/entry.naver?cid=51007&docId=926830&categoryId=51007"> <meta property="og:title" content="갑상선 기능 항진증"> <meta property="og:image" content="https://ssl.pstatic.net/static/terms/common/img/og.png"> <meta property="og:description" content="갑상선에서 갑상선 호르몬이 과다하게 분비되어 갑상선 중독증을 일으키는 상태. [정의] 갑상선 기능 항진증은 갑상선에서 분비되는 호르몬(T3 및 T4)이 어떠한 원인에 의해서 과다하게 분비되어 갑상선 중독증을 일으키는 상태를 말한다. 갑상선 기능 항진증이 심하여 사망에 이르게 될 경우 이를 갑상선 기능 항진증의 발작 또는 급성발작이라고 한다. [원인] 갑상선 기능 항진증을 일으키는 가장 주요한 원인은 그레이브스씨 병이다. 이 외에도 뇌하수체 선종이 있는 경우 이 종양에서 갑상선 자극 호르몬이 과다분비되어 생길 수 있으며, 인융모성선 자극 호르몬(human chorionic gonadotropin, hCG)을 분비하는 종양에 의해서도 발생할 수 있다. 갑상선 호르몬제를 과량 복용할 경우에도 갑상선 기능 항진증의 증상이 나타난다. [증상] 식욕이 왕성함에도 불구하고 오히려 체중이 감소할 수 있다. 더위를 참지 못하고 맥박이 빨라지며(빈맥), 두근거림, 손 떨림이 나타나거나 대변 횟수가..."> <meta property="og:article:author" content="네이버 지식백과" /> <meta property="og:article:author:url" content="https://m.terms.naver.com" /> <meta name="viewport" content="width=1110" />  <title>갑상선 기능 항진증</title> <meta name="Description" CONTENT="어린이/학생백과, 동물/식물, 건강, 역사, 자연과학, 인문과학, 미술작품, 비주얼사전 등 전문가들이 정리한 지식을 제공하는 종합백과서비스" /> <link rel="stylesheet" type="text/css" href="https://ssl.pstatic.net/static/terms/terms/css/terms_tlist.css?250218060016"> <link rel="stylesheet" type="text/css" href="https://ssl.pstatic.net/static/terms/terms/css/terms_230427.css?250218060016"> <link rel="stylesheet" type="text/css" href="https://ssl.pstatic.net/static/terms/terms/css/subject_tmp_200508.css?250218060016"> <link rel="shortcut icon" href="/favicon.ico?250218060016" type="image/x-icon"> <link rel="stylesheet" type="text/css" href="https://ssl.pstatic.net/static/maps/openapi_map/maps_openapi.css?250218060016"> 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data-url="https://terms.naver.com/entry.naver?cid=51007&docId=926830&categoryId=51007" data-title="갑상선 기능 항진증" data-me-display="off" data-blog-source-form="2" data-cafe-source-form="2" title="보내기" onclick="nclk(this, 'toa.share', '', '', 1);">공유</a></li> <li><a href="/print.naver?docId=926830&categoryId=51007" class="btn_print" role="button" target="_blank" onclick="nclk(this, 'toa.toppri', '', '', 1); window.open(this.href, '', 'width=788, height=600, toolbar=0, menubar=no, resizable=no, scrollbars=yes'); return false;">인쇄</a></li> </ul> <div class="font_area" id="btn_fs"> <a href="javascript:;" role="button" class="btn font" aria-expanded="false" aria-haspopup="listbox" id="font_set">글꼴</a> <div class="ly_font_list" id="fontset_area" role="listbox"> <a href="javascript:;" data-class="font1" role="option">나눔고딕</a> <a href="javascript:;" data-class="font2" role="option">맑은고딕</a> <a href="javascript:;" data-class="font3" role="option">돋움체</a> </div> <a href="javascript:;" role="button" class="btn sm __fontBtn">가<span class="blind">- 글꼴 작게</span></a> <a href="javascript:;" role="button" class="btn big __fontBtn">가<span class="blind">+ 글꼴 크게</span></a> </div> </div> </div> <div class="section_wrap "> <div class="headword_title"> <p class="cite"> <a href="list.naver?categoryId=51007" onclick="clickcr(this, 'toa.source', '', '', event);">서울대학교병원 의학정보</a> </p> <h2 class="headword">갑상선 기능 항진증</h2> <p class="desc"></p> <p class="word"> [ <span class="word_txt"><span class="u_word_dic" data-hook="tip" data-type="arken" data-lang="en">hyperthyroidism</span></span><audio id="soundT11" src="https://dict-dn.pstatic.net/v?_lsu_sa_=3d985f5c5d7139c6c498319335c4f4f5cd0a6d3521031ff36f921b7afbac6cc1675937116e158e75997c6d85ff2c303e6d426e78141cf8c0f1d8b9aa5b1af95d6378520467c64bdfcf977b142609f9916941527848cfee9a138baad6274bd7cc142ce0aacdc36a7559b6b5a1dfb71d0a37a682d635d4d704f320ef7a79f722ea" style="width:0px;height:0px;"></audio><a id="sound_playT11" class="tlp_sound" data-url="https://dict-dn.pstatic.net/v?_lsu_sa_=38d810500dc53026569cb1473bb44efc4d7a6fd5f00c8f806692277cebc863119057d7316af5d87a097f6915e926d0b1fdb05aa90c1dc2a409508a9d76c9da97ed1d52a17f4ba3a123fed6811bb17043e0538939fca41b93852f96693f60e980e33354063915c64efb3692c878bfa8c30959d4f65dd1a1ee4ecf14ee44fff2b1" onclick="nclk(this, 'tot.listensub', '', '', 1);return false;"><span class="blind">음성듣기</span></a> ] </p> </div> <div id="size_ct" class="size_ct_v2"> <dl class="summary_area"> <i class="ico"><span class="blind">요약</span></i> 갑상선에서 갑상선 호르몬이 과다하게 분비되어 갑상선 중독증을 일으키는 상태 </dl> <div class="att_type"> <div class="inner_att_type"> <div class="wr_tmp_profile"> <div class="tmp_profile"> <table class="tmp_profile_tb"> <colgroup> <col class="tmp_col"> <col width="*"> </colgroup> <tbody> <tr> <th scope="row"><span class="title">진료과</span></th> <td> <a href="/entry.naver?docId=927881&ref=y" onclick="clickcr(this, 'bdk.creference', '', '', event);">내분비내과</a>, <a href="/entry.naver?docId=927882&ref=y" onclick="clickcr(this, 'bdk.creference', '', '', event);">소아청소년과</a>, <a href="/entry.naver?docId=927888&ref=y" onclick="clickcr(this, 'bdk.creference', '', '', event);">가정의학과</a> </td> </tr> <tr> <th scope="row"><span class="title">관련 신체기관</span></th> <td> 갑상선 </td> </tr> </tbody> </table> </div> </div> </div> </div> <div class="tmp_agenda newline"><h3>목차</h3><ol><li class=""><a href="#TABLE_OF_CONTENT1" onclick="clickcr(this, 'bdy.contents', '', '',event);">정의</a></li> <li class=""><a href="#TABLE_OF_CONTENT2" onclick="clickcr(this, 'bdy.contents', '', '',event);">원인</a></li> <li class=""><a href="#TABLE_OF_CONTENT3" onclick="clickcr(this, 'bdy.contents', '', '',event);">증상</a></li> <li class=""><a href="#TABLE_OF_CONTENT4" onclick="clickcr(this, 'bdy.contents', '', '',event);">진단/검사</a></li> <li class=""><a href="#TABLE_OF_CONTENT5" onclick="clickcr(this, 'bdy.contents', '', '',event);">치료</a></li> <li class=""><a href="#TABLE_OF_CONTENT6" onclick="clickcr(this, 'bdy.contents', '', '',event);">경과/합병증</a></li> <li class=""><a href="#TABLE_OF_CONTENT7" onclick="clickcr(this, 'bdy.contents', '', '',event);">식이요법/생활가이드</a></li> </ol></div> <h3 class="stress" id="TABLE_OF_CONTENT1">정의</h3> <p class="txt">갑상선 기능 항진증은 갑상선에서 분비되는 호르몬(T3 및 T4)이 어떠한 원인에 의해서 과다하게 분비되어 갑상선 중독증을 일으키는 상태를 말한다. 갑상선 기능 항진증이 심하여 사망에 이르게 될 경우 이를 갑상선 기능 항진증의 발작 또는 급성발작이라고 한다.</p> <h3 class="stress" id="TABLE_OF_CONTENT2">원인</h3> <p class="txt">갑상선 기능 항진증을 일으키는 가장 주요한 원인은 그레이브스씨 병이다. 이 외에도 <a href="/entry.naver?docId=926639&ref=y" onclick="clickcr(this, 'bdk.creference', '', '', event);">뇌하수체 선종</a>이 있는 경우 이 종양에서 갑상선 자극 호르몬이 과다분비되어 생길 수 있으며, 인융모성선 자극 호르몬(human chorionic gonadotropin, hCG)을 분비하는 종양에 의해서도 발생할 수 있다. 갑상선 호르몬제를 과량 복용할 경우에도 갑상선 기능 항진증의 증상이 나타난다.</p> <h3 class="stress" id="TABLE_OF_CONTENT3">증상</h3> <p class="txt">식욕이 왕성함에도 불구하고 오히려 체중이 감소할 수 있다. 더위를 참지 못하고 맥박이 빨라지며(빈맥), 두근거림, 손 떨림이 나타나거나 대변 횟수가 증가할 수 있다. 피로감, 불안감 및 초조함이 나타날 수 있고, 가슴이 아프다고 느끼거나 숨이 차다고 느낄 수 있다. <a href="/entry.naver?docId=927555&ref=y" onclick="clickcr(this, 'bdk.creference', '', '', event);">근력 약화</a>로 인한 근육 마비가 올 수 있다. 눈이 튀어나오거나 안구 건조증 및 <a href="/entry.naver?docId=926946&ref=y" onclick="clickcr(this, 'bdk.creference', '', '', event);">각막염</a>, 복시(사물이 겹쳐 보임) 등의 증상이 나타나기도 하는데, 이를 그레이브스 안병증(Graves' ophthalmopathy)이라고 한다. 또한 갑상선 기능 항진증이 심하여 사망에 이르게 될 경우 이를 갑상선 기능 항진증의 발작 또는 급성발작이라고 한다.</p> <h3 class="stress" id="TABLE_OF_CONTENT4">진단/검사</h3> <p class="txt">채혈검사를 통해 혈액 내 갑상선 호르몬 농도를 측정하여 진단할 수 있다. 갑상선 기능 항진증 환자의 경우 갑상선 호르몬(T4 또는 T3)의 혈액 내 농도가 정상치보다 높게 나타난다.</p> <h3 class="stress" id="TABLE_OF_CONTENT5">치료</h3> <p class="txt">갑상선 호르몬의 생산을 억제하는 치료를 하게 된다. 흔히 항갑상선제를 사용한 약물치료를 시행하는데, 항갑상선제 복용을 중단할 경우 재발률이 높은 것이 단점이다. 항갑상선제는 대부분 부작용이 없는 안전한 약물이지만 드물게 무과립구증, <a href="/entry.naver?docId=927031&ref=y" onclick="clickcr(this, 'bdk.creference', '', '', event);">혈관염</a> 및 간기능 장애를 동반할 수 있다. 약물 치료 외에 갑상선을 절제하는 수술 요법이나 동위원소(방사성요오드 치료)를 이용하여 갑상선을 파괴하는 방사성 동위원소 치료가 사용된다. 그러나 방사성 동위원소 치료의 경우 향후 <a href="/entry.naver?docId=926829&ref=y" onclick="clickcr(this, 'bdk.creference', '', '', event);">갑상선 기능 저하증</a>이 발생할 수 있으며 임신이나 수유 시에는 절대로 받을 수 없다.<br><br>그레이브스 안병증은 증상이 경미한 경우에는 특별한 치료가 필요 없으며, 증상 완화를 위해 대증요법이 보조적으로 사용될 수 있다. 일부에서 면역 억제요법이나 수술 치료가 시행되기도 한다.</p> <h3 class="stress" id="TABLE_OF_CONTENT6">경과/합병증</h3> <p class="txt">치료하지 않을 경우 갑상선 중독증 위기(고열, <a href="/entry.naver?docId=926763&ref=y" onclick="clickcr(this, 'bdk.creference', '', '', event);">부정맥</a>, <a href="/entry.naver?docId=926912&ref=y" onclick="clickcr(this, 'bdk.creference', '', '', event);">심부전</a>) 등으로 사망할 수도 있다. 그레이브스 안병증의 경과는 갑상선 기능과 항상 일치하지는 않으며, 흡연이 질환의 악화요인으로 알려져 있다.</p> <h3 class="stress" id="TABLE_OF_CONTENT7">식이요법/생활가이드</h3> <p class="txt">흡연은 갑상선 안구병증에 좋지 않기 때문에 반드시 금연해야 한다.</p> </div> <div class="section_group"> <div class="box_media box_img"> <h3 id="__relatedImage" class="title">관련이미지 <em>2</em></h3> <div class="box_lst"> <div class="box_slid"> <div id="relatedImagesUlHidden" 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