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Various manifestations of hyperthyroidism in an ambulatory clinic: case studies

Tripp, W.; Rao, V.; Creary, L.B.

Journal of the National Medical Association 79(11): 1167-1170

1987

ISSN/ISBN: 0027-9684
PMID: 3694696
Document Number: 305312
This study reviews five cases of women with hyperthyroidism, three black women and two Hispanic women. Initially, two patients presented with voice changes, weight loss, and increased appetite. Only two patients presented with classical symptoms of hyperthyroidism. Examination showed all patients had diffusely enlarged thyroids and exaggerated reflexes. Two patients showed Graves' opthalmopathy.These cases document the variety of presentations of hyperthyroidism. Hence, a high index of suspicion must exist for this disease, even in the absence of a number of the classical manifestations of hyperthyroidism. When patients present to primary care centers with a constellation of symptoms, an examination of the thyroid gland is essential.

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