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2016, Number 3

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Rev Fac Med UNAM 2016; 59 (3)

Apathetic hyperthyroidism in middle-aged patient. Case report and literature review

Briseño LP, Ceballos VJC, Rodríguez CZM, Téllez MLA, Mendoza ZV, MacGregor GJM

Language: Spanish
References: 19
Page: 22-26
PDF size: 290.32 Kb.


ABSTRACT

Hyperthyroidism is a common condition that is easily recognized by its signs and symptoms. The apathetic hyperthyroidism is a form of presentation of hyperthyroidism without its characteristic signs and symptoms. The cardinal symptoms of apathetic hyperthyroidism are depression and apathy. The absence of classical signs and symptoms of hyperthyroidism delays the diagnosis and treatment of the disease, as it is often misdiagnosed as a primary psychiatric disorder. It is more common in elderly patients and is extremely rare in children and middle-age adults. We report the case of a middle-age woman with apathetic hyperthyroidism characterized by depression, dizziness, edema and weight loss without other clinical data of hyperthyroidism; she had been treated for two years for major depressive disorder. She had been studied by other specialties because of vertigo. The diagnosis was made after thyroid function tests were requested, and joined with clinical findings


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