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Ronald Dozeman, MD; Fran E. Kaiser, MD; Oliver Cass, MD; James Pries, MD

Arch Intern Med. 1983;143(11):2202-2203.

Abstract
• Vomiting Is a poorly recognized manifestation of hyperthyroidism. During pregnancy, this appearance can be indistinguishable from hyperemesis gravidarum. Two patients with intractable hyperemesis gravidarum were found to have hyperthyroidism. Their symptoms resolved when thyroid functions returned to normal. Given the ease of laboratory confirmation, excellent therapy, and the seriousness of delay in diagnosis, thyrotoxicosis should be considered in patients with unusual or severe hyperemesis gravidarum.

(Arch Intern Med 1983;143:2202-2203)

Author Affiliations
From the Department of Gastroenterology (Drs Dozeman and Cass), University of Minnesota, Minneapolis; and the Divisions of Gastroenterology (Dr Pries) and Endocrinology (Dr Kaiser), Department of Medicine, St Paul—Ramsey Medical Center, St Paul.

Footnotes
Accepted for publication Feb 23, 1983.

Reprint requests to Division of Gastroenterology, Department of Medicine, St Paul—Ramsey Medical Center, 640 Jackson St, St Paul, MN 55101 (Dr Pries).

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