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An Unusual Manifestation of Thyrotoxicosis

HORACE K. IVY, M.D.

Arch Intern Med. 1963;111(5):607-611.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

That the manifestations of thyrotoxicosis are protean is attested to by the abundance of literature on this subject. The typical syndrome of physical stimulation, tremor, tachycardia, loss of weight, polyphagia, and intolerance to heat associated with thyroidal enlargement and ocular signs is not difficult to recognize. Other patients, however, may appear to have refractory congestive heart failure or chronic cardiac arrythmia. Severe anxiety, psychosis, or encephalopathic manifestations may obscure the basic disease. Innumerable other variations have been observed mimicking osteoporosis, gastrointestinal disease, rheumatic states, and myasthenia gravis. Two recent reports^5,19 dealing with bizarre manifestations of hyperthyroidism mentioned edema as an occasional presenting complaint. In such cases, the mechanism of the edema is unknown, for it is said that cardiac, renal, hepatic, nutritional, obstructive, and protein abnormalities can be excluded.

Plasma protein abnormalities, when sought, are commonly observed with thyrotoxicosis.^1,10,12 However, the changes seen are not of the magnitude . . . [Full Text PDF of this Article]

Author Affiliations
ROCHESTER, MINN.

Section of Medicine, Mayo Clinic and Mayo Foundation.

Footnotes
Received for publication Aug. 4, 1962; accepted Aug. 24.

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