Apathetic thyrotoxicosis

Srinivas V, Sravan Kumar S

Pdf Page Numbers :- 137-140

 Srinivas V^1,* and Sravan Kumar S¹

¹Department of Internal Medicine, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India

*Corresponding author: Dr. Srinivas V, MD., Senior Consultant Internal Medicine, Department of Internal Medicine, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India. Tel.: 040 44186767; Email: sri_vut@yahoo.co.in.

Received 13 April 2015; Revised 9 June 2015; Accepted 19 June 2015; Published 26 June 2015

Citation: Srinivas V, Sravan Kumar S. Apathetic thyrotoxicosis. J Med Sci Res. 2015; 3(3):137-140. DOI: http://dx.doi.org/10.17727/JMSR.2015/3-027

Copyright: © 2015 Srinivas V, et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 

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Abstract

A 66-year-old male patient presented to the hospital with the complaints of weakness, loss of weight of about 10 kg in 2 months, decreased appetite, increased frequency of urination, not associated with burning sensation or hematuria. There was no history of fever or cough, altered bowel habits, or diabetes mellitus. Patient was suspected to harbour malignancy, underwent upper gastrointestinal endoscopy (UGI), high resolution computed tomography (HRCT) chest in an outside hospital which were normal. Patient came to this hospital for CT scan of abdomen. Patient was examined thoroughly and the clinically positive findings were, generalised wasting, tremors in the hands, heart rate 110 per min which led to investigate in lines of thyrotoxicosis. Thyroid stimulating hormone (TSH) was 0.01 free T3 was high and all other investigations normal. Random blood Sugar 115mg %, prostate-specific antigen 2.5ng/ml. patient underwent tc99 scan which was suggestive of were Graves’ disease. Endocrinology department has taken the patient and started on neomercazole, proponolol and discharged.

Keywords: apathetic thyrotoxicosis; hyperthyroidism; weight loss; thyroid hormone