Apathetic Thyrotoxicosis – a rare diagnosis

Authors

  • Ana Correia Interna do Complementar de Medicina Interna do Hospital de Santa Maria, Lisboa, Portugal
  • Ana Gonçalves Interna do Complementar de Medicina Interna do Hospital de Santa Maria, Lisboa, Portugal
  • Luiz Menezes Falcão Assistente Hospitalar Graduado do Hospital de Santa Maria, Cardiologista; Professor Auxiliar da Faculdade de Medicina de Lisboa
  • Luciano Ravara Professor Catedrático da Faculdade de Medicina de Lisboa; Director do Serviço de Medicina I do Hospital de Santa Maria

Keywords:

thyrotoxicosis, apathetic thyrotoxicosis, hyperthyroidism, apathetic hyperthyroidism

Abstract

A 67-year-old male patient was admitted because of unexplained weight loss, apathy and lethargy. He had a prior history of
degenerative aortic valve disease and heart failure. A mechanical
prosthetic aortic valve was implanted.
During the investigation the clinical exams and the laboratory
fi ndings lead to the diagnosis of apathetic thyrotoxicosis. This
entity is found mainly in the elderly population in which the usual
hyperkinetic presentation is replaced by apathy, inactivity, tiredness and lack of reaction to the stress.

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References

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Dabon-Almirante CLM, Surks MI. Clinical and Laboratory Diagnosis of Thyrotoxicosis. Endocrinology and Metabolism Clinics of North

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Ghobrial M et al. Coma and Thyroid Storm in Apathetic Thyrotoxicosis. Southern Medical Journal 2002; 95(5): 552-554.

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Additional Files

Published

2005-03-31

How to Cite

1.
Correia A, Gonçalves A, Menezes Falcão L, Ravara L. Apathetic Thyrotoxicosis – a rare diagnosis. RPMI [Internet]. 2005 Mar. 31 [cited 2024 Nov. 21];12(1):15-21. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/1670

Issue

Section

Case Reports