Report of 10 cases with unusual manifestations in Thyrotoxicosis

Background and Objective: Diagnosis of hyperthyroidism and graves disease are not difficult due to typical symptoms. Sometimes manifestations of this disease are unusual. So final clinical diagnosis is important. Case: In this study, 10 cases with thyrotoxicosis along with unusual manifestations wer...

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Autor principal: S Darvish Moghaddam
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Lenguaje:EN
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Publicado: Babol University of Medical Sciences 2002
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Acceso en línea:https://doaj.org/article/669798bb90474eb39aaa86b23d0f3d03
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spelling oai:doaj.org-article:669798bb90474eb39aaa86b23d0f3d032021-11-10T09:19:25ZReport of 10 cases with unusual manifestations in Thyrotoxicosis1561-41072251-7170https://doaj.org/article/669798bb90474eb39aaa86b23d0f3d032002-01-01T00:00:00Zhttp://jbums.org/article-1-2843-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170Background and Objective: Diagnosis of hyperthyroidism and graves disease are not difficult due to typical symptoms. Sometimes manifestations of this disease are unusual. So final clinical diagnosis is important. Case: In this study, 10 cases with thyrotoxicosis along with unusual manifestations were surveyed. Of these, 6 cases were male and 4 cases were female. They were at the 17-68 age group with the mean of 48.2. The frequency of unusual symptoms was as follows: General pruritis without skin lesion (3 cases), anorexia and vomiting (3 cases), hypokalemic paralysis (2 cases), dysphagia with recurrent pulmonary aspiration (1 case), pretibial myxedema (1 case) and means lerman scratch (1 case). This interval between the beginning of symptoms and final diagnosis was different from 10 to 120 days. The thyroid function test showed hyperthyroidism in all cases. Another underlying disorder was not detected. All symptoms of patients were removed after antithyroid drugs therapy except pretibial myxedema (1 case) and exophthalmus (2 cases). These was no complication during 18-month antithyroid therapy after interruption of drug, relapse of disease was seen in 3 cases. Conclusion: With regard to different manifestation of thyrotoxicosis, this disease should be considered in differential diagnosis, especially in older age groups with gastrointestinal, cardiac, cutaneous and musculoskeletal complaints.S Darvish MoghaddamBabol University of Medical Sciencesarticlethyrotoxicosisgraves diseaseunusual manifestationdysphagiapruritisMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 4, Iss 1, Pp 37-41 (2002)
institution DOAJ
collection DOAJ
language EN
FA
topic thyrotoxicosis
graves disease
unusual manifestation
dysphagia
pruritis
Medicine
R
Medicine (General)
R5-920
spellingShingle thyrotoxicosis
graves disease
unusual manifestation
dysphagia
pruritis
Medicine
R
Medicine (General)
R5-920
S Darvish Moghaddam
Report of 10 cases with unusual manifestations in Thyrotoxicosis
description Background and Objective: Diagnosis of hyperthyroidism and graves disease are not difficult due to typical symptoms. Sometimes manifestations of this disease are unusual. So final clinical diagnosis is important. Case: In this study, 10 cases with thyrotoxicosis along with unusual manifestations were surveyed. Of these, 6 cases were male and 4 cases were female. They were at the 17-68 age group with the mean of 48.2. The frequency of unusual symptoms was as follows: General pruritis without skin lesion (3 cases), anorexia and vomiting (3 cases), hypokalemic paralysis (2 cases), dysphagia with recurrent pulmonary aspiration (1 case), pretibial myxedema (1 case) and means lerman scratch (1 case). This interval between the beginning of symptoms and final diagnosis was different from 10 to 120 days. The thyroid function test showed hyperthyroidism in all cases. Another underlying disorder was not detected. All symptoms of patients were removed after antithyroid drugs therapy except pretibial myxedema (1 case) and exophthalmus (2 cases). These was no complication during 18-month antithyroid therapy after interruption of drug, relapse of disease was seen in 3 cases. Conclusion: With regard to different manifestation of thyrotoxicosis, this disease should be considered in differential diagnosis, especially in older age groups with gastrointestinal, cardiac, cutaneous and musculoskeletal complaints.
format article
author S Darvish Moghaddam
author_facet S Darvish Moghaddam
author_sort S Darvish Moghaddam
title Report of 10 cases with unusual manifestations in Thyrotoxicosis
title_short Report of 10 cases with unusual manifestations in Thyrotoxicosis
title_full Report of 10 cases with unusual manifestations in Thyrotoxicosis
title_fullStr Report of 10 cases with unusual manifestations in Thyrotoxicosis
title_full_unstemmed Report of 10 cases with unusual manifestations in Thyrotoxicosis
title_sort report of 10 cases with unusual manifestations in thyrotoxicosis
publisher Babol University of Medical Sciences
publishDate 2002
url https://doaj.org/article/669798bb90474eb39aaa86b23d0f3d03
work_keys_str_mv AT sdarvishmoghaddam reportof10caseswithunusualmanifestationsinthyrotoxicosis
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