APATHETIC THYROIDISM: REVIEW OF THE LITERATURE AND REPORT OF FOUR CASES
- 1 June 1959
- journal article
- research article
- Published by American College of Physicians in Annals of Internal Medicine
- Vol. 50 (6), 1418-1432
- https://doi.org/10.7326/0003-4819-50-6-1418
Abstract
The clinical picture of Parry-Graves-Basedow disease has been well recognized for many years. However, recently has there been an increasing awareness of the atypical forms of this disease. The apathetic hyperthyroid patient, although not being masked by one disordered system, can be confusing and escape detection. This is due to his presenting little or no exophthalmos, goiter, tachycardia and other signs of activation. He is listless and insensitive and maintains dulled, expressionless eyes. These patients with apathetic thyroidism are usually older individuals who display cool, dry, wrinkled skin which is often pigmented. They exhibit greater weight loss than the typically agitated thyrotoxic, and they die in coma or stupor in contrast to storm.Keywords
This publication has 8 references indexed in Scilit:
- Effects of Oral and Intramuscular Administration of Reserpine in ThyrotoxicosisNew England Journal of Medicine, 1957
- Diagnosis of masked hyperthyroidism in cardiac patients with auricular fibrillationAmerican Journal Of Medicine, 1951
- HYPERTHYROIDISM WITHOUT APPARENT HYPERMETABOLISMJAMA, 1951
- THYROTOXIC CRISISJAMA, 1947
- APATHETICAL RESPONSE TO HYPERTHYROIDISM; REPORT OF TWO CASESAnnals of Internal Medicine, 1946
- MASKED HYPERTHYROIDISM AS A CAUSE OF HEART DIEASEAnnals of Internal Medicine, 1942
- The Management of Severe and of Atypical HyperthyroidismAnnals of Internal Medicine, 1932
- EFFECTS OF THYROXIN INJECTIONS ON THE SUPRARENAL GLANDS OF THE MOUSEEndocrinology, 1928