Apathetic thyrotoxicosis presenting with diabetes mellitus
نویسندگان
چکیده
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 diabetes due to apathetic thyrotoxicosis.
منابع مشابه
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...
متن کاملMetastatic follicular carcinoma of the thyroid presenting with thyrotoxic induced impaired control of diabetes mellitus.
We report a patient with pulmonary and bony metastases due to follicular carcinoma of the thyroid, occurring 12 years after the initial diagnosis. This was brought to light by worsening diabetic control due to thyrotoxicosis from functioning malignant thyroid tissue. Following radio-active iodine therapy, she remains well with good control of her diabetes.
متن کاملA 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.
متن کاملThyroid storm presenting as jaundice and complete heart block.
Thyroid storm is a difficult diagnosis in "apathetic" variant of hyperthyroidism. The clinical features may not be evident. Abnormal atrioventricular (AV) conduction, such as complete heart block, in thyrotoxicosis is uncommon. We report a case of a 16-year-old girl presenting with fever, jaundice, heart failure and complete heart block in whom the diagnosis of thyroid storm was initially misse...
متن کاملNew onset type 1 diabetes presenting as ketoacidosis simultaneously presenting with autoimmune hyperthyroidism--a case report.
Autoimmune conditions are common with an estimated prevalence in the UK of 2.5%. The presence of one condition should always prompt the clinician to look for others if new symptoms arise. Autoimmune polyglandular syndromes are well described. However, it is unusual for two or more autoimmune conditions to present simultaneously. We describe a case of two autoimmune conditions--type 1 diabetes a...
متن کامل