Unveiling The Unseen: Apathetic Hyperthyroidism in Primary Care – A Case Report.
DOI:
https://doi.org/10.70672/hxyz6p96Keywords:
Apathetic Hyperthyroidism, Thyroid Disorder in the Elderly.Abstract
Thyrotoxicosis is significantly more challenging to diagnose in elderly patients compared to younger individuals. The thyroid disorder may be masked and overlooked, yet its confounding effects may be devastating. The atypical presentation of the elderly thyrotoxic makes the patient's recognition difficult, and if left untreated, the morbidity may be considerable, but once correctly diagnosed, the condition is readily treatable. We report the case of a 67-year-old man with an unknown medical illness who presented with excessive weight loss for the past 4 months. On examination, he was not tachycardic, and his pulse was in regular rhythm and of normal volume. There was no palpable thyroid nodule. His biochemical investigation revealed hyperthyroidism.
References
[1]. Kennedy JW, Caro JF. The ABC of managing of hyperthyroidism in the older patient. Geriatrics 1996; 51: 22-32.
[2]. Lian Leng Low, Kheng Hock Lee: Hyperthyroidism in the Elderly. The Singapore Family Physician Vol 37(3) (supplement 1) July-September 2011:72-75.
[3]. Ajish TP, Jayakumar RV. Geriatric thyroidology: An update. Indian J Endocrinol Metab. 2012 Jul;16(4):542-7
[4]. Barrera VC, Lim SC. Hyperthyroidism in the Elderly: Challenges in Diagnosis and Management. Am J Gerentol Geriatr. 2020; 3(1): 1021.
[5]. FH Lahey. Apathetic thyroidism. Ann Surg. 1931 May;93(5):1026-30.
doi: 10.1097/00000658-193105000-00008.
[6]. B. M. Arnold, G. Casal, H. P. Higgins. Apathetic Thyrotoxicosis. Can Med Assoc J. 1974 Nov 2; 111(9): 957–958.
[7]. Sridhar GR, Putcha V, Lakshmi G. Sleep in thyrotoxicosis. Indian J Endocr Metab 2011;15:23-6.
[8]. Yonatan Akivis, Adam Kurnick, Patricia Castro-Auvet, et al. Apathetic Thyrotoxicosis Presenting With New-Onset Pulmonary Hypertension. AIM Clinical Cases 2023;2:e220946.
[9]. Michael J. Dougherty, Ernest Craige, Apathetic Hyperthyroidism Presenting as Tricuspid Regurgitation, Chest, Volume 63, Issue 5,1973, Pages 767-772.
[10]. Hanna M, Sun B, Shekarappa R (May 29, 2024) Toxic Thyroid Adenoma Presenting as Apathetic Hyperthyroidism: A Case Report. Cureus 16(5): e61322.
[11]. Ross DS, Burch HB, Cooper DS, Greenlee MC, Laurberg P, Maia AL, Rivkees SA, Samuels M, Sosa JA, Stan MN, Walter MA. 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis. Thyroid. 2016 Oct;26(10):1343-14
[12]. Burch HB, Wartofsky L 1993 Life-threatening thyrotoxicosis. Thyroid storm. Endocrinol Metab Clin North Am 22:263–277.
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