A case of apathetic thyrotoxicosis simulating malignant disease.
نویسندگان
چکیده
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.
منابع مشابه
Complete Heart Block in Thyrotoxicosis, Is It a Manifestation of Thyroid Storm? A Case Report and Review of the Literature
Thyrotoxicosis complicated by advance degree atrioventricular block, a rare complication of a common disease. The term apathetic thyrotoxicosis, where palpitations and cardiac involvement are the sole manifestations of disease, is well known. Thyroxin's ability to sensitize the catecholamine receptors causing tachyarrhythmias is well addressed. However, as an aetiology for advanced heart block,...
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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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An elderly patient with thyrotoxicosis complicated by lack of classical clinical signs and normal conventional tests is described. The picture was compounded by development of apathy and depression. This is the second case report of apathetic T3 thyrotoxicosis in the literature. Such a clinical entity can easily be overlooked, but represents one of the treatable disorders of 'old age depression'.
متن کاملA 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...
متن کاملApathetic 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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ورودعنوان ژورنال:
- Postgraduate medical journal
دوره 56 655 شماره
صفحات -
تاریخ انتشار 1980