APATHETIC THYROIDISM

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Apathetic thyrotoxicosis presenting with diabetes mellitus

Apathetic form of thyrotoxicosis occurs in the elderly who can present with features of hyperglycemia, hypothyroidism, depression, or an internal malignancy. A clinical suspicion and timely diagnosis of hyperthyroidism is needed to define the correct etiology of existing problems, and to prevent grave complications. We discuss an 84-year-old woman who presented with fatigue and uncontrolled dia...

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Apathetic hyperthyroidism presenting as tricuspid regurgitation.

Apathetic hyperthyroidism, as its name implies, presents itself in an insidious manner so that the diagnosis may be oliscure until a near-terminal situation. Such was the situation in two elderly women manifesting lethargy, muscular weakness, and anasarca associated with severe Mcnspid regurgitation. Both had been unresponsive to the usual medical regimen consisting of digitalis and diuretics f...

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Subclinical Hyper and Hypo Thyroidism - When to Treat

Subclinical hypothyroidism is defined as an increased serum TSH in the presence of a normal serum FT4 concentration. Increased refers to values above and normal to values within population-based reference ranges of these hormones. It is however not so simple to diagnose accurately subclinical hypothyroidism in day-to-day practice applying this biochemical definition. Diagnosis of subclinical hy...

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A clinical retrospective analysis of factors associated with apathetic hyperthyroidism.

OBJECTIVE Apathetic hyperthyroidism can be misdiagnosed or diagnosed late, and older patients are often susceptible to adverse effects of treatment for thyrotoxicosis. The aim of this study was to identify factors associated with apathetic hyperthyroidism. METHODS We retrospectively examined serum calcium, phosphorus and bone-specific alkaline phosphatase (BAP) levels and thyroid-associated v...

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A case of apathetic thyrotoxicosis simulating malignant disease.

A patient with apathetic hyperthyroidism and who was initially considered to be suffering from malignant disease and progressed to crisis is described. The role of magnesium in this presentation of thyrotoxicosis is discussed.

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 1931

ISSN: 0003-4932

DOI: 10.1097/00000658-193105000-00008