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thyrotoxicosis and Hyperthyroidism
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Hyperthyroidism Symptom

 
Hyperthyroidism Introduction

 

Hyperthyroidism, also known as thyrotoxicosis, is a condition characterized by both the increased metabolism, and elevated serum levels of thyroid hormones.  The condition can be caused by several different disease states, all with the same result. Of the diseases that can cause hyperthyroidism; Grave's disease, which is also known as a diffuse toxic goiter, is the most common.  Other diseases that can cause hyperthyroidism are pituitary tumors that secretes excess TSH (the hormone that tells thyroid to produce and secrete more hormones), toxic multinodular goiter, thyroiditis (inflammation of thyroid), excessive iodine ingestion, and congenital hyperthyroidism. [1]

 

Grave's disease is an autoimmune cause of hyperthyroidism.  It accounts for nearly 85% of all diagnosed cases of hyperthyroidism in the US.  It is more common in women than men.  The average age of incidence is between 20 and 40 years old.  Stress is thought to be a precipitating factor in the development of Grave's disease. [2]

 

 

Hyperthyroidism Signs and Symptoms

 

The clinical signs and symptoms of hyperthyroidism can vary from patient to patient.  Common complaints are often the result from an increase in metabolism brought on by the elevated serum thyroid hormones, as well as an increase in adrenergic (adrenalin) response.  Symptoms of hyperthyroidism can include;

  • warmth

  • increased sweating

  • moist skin

  • increased heart rate

  • nervousness

  • increased energy and activity

  • loose bowel movements

  • weight loss

  • insomnia

  • increased appetite

  • tremor

  • fatigue

  • eye signs, which may include lid lag, lid retraction, stare, and redness of the conjunctiva

Persons with Graves' disease will also have characteristic eye signs as a result of the auto-immune interaction with the eye, including orbital pain, increased tearing, irritation, photophobia, and protrusion of the eyes.  Pre-tibial myxedema can also occur in persons with Grave's disease.

 

Clinical signs that are commonly observed by physician for diagnosis of hyperthyroidism, include;

  • goiter (enlargement of the thyroid)

  • exophthalmos (protrusion of the eyes)

  • pre-tibial myxedema

  • changes in the blood pressure. [3]

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