Tuesday, March 25, 2008

Hyperthyroidism in the differential diagnosis

Differential diagnosis should be considered: ① simple goiter. Apart from goiter, there are no such signs and symptoms. Although sometimes 131 I uptake rate increased, T3 inhibition test showed that most of the inhibited. Serum T3 and rT3 were normal. ② Neurosis. ③ autonomy of the high-functioning thyroid nodules, scan radioactive concentrated in the nodules: TSH stimulation repeat scanning, we can see that radioactive nodules increased. ④ other. Tuberculosis and rheumatism often low heat, sweating tachycardia, in order to diarrhea as the main performance, often easily misdiagnosed as chronic colitis. The performance of many elderly hyperthyroidism not typical, and often indifferent, anorexia, significant weight loss in easily be misdiagnosed as cancer. Unilateral invasion of exophthalmos and to low orbit and cranial tumor differentiation. Hyperthyroidism with myopathy, and the familial cycle to paralysis and myasthenia gravis identification.

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