Senile hyperthyroidism

Senile hyperthyroidism also known as indifferent or unable-type (apathetic) and concealed type (masked). Symptoms Senile hyperthyroidism ① disease characterized by a hidden passage. ② atypical manifestations, and often prominent symptoms of a system, especially the cardiovascular and gastrointestinal symptoms. The elderly, with other heart disease, but less tachycardia performance, many patients with angina pectoris, myocardial infarction occurred some even occurred arrhythmia and heart failure is more common, accounting for more than half. Elderly patients with hyperthyroidism in the incidence of anorexia more and more diarrhoea, caused by wasting more prominent, quality of dioxins was often misdiagnosed as cancer. ③ ophthalmopathy metabolic syndrome and high performance less frequently enlarged thyroid, but the incidence of thyroid nodules higher, especially female patients. ④ Determination of serum T4 can be in the normal range, but 131I uptake rate increased, T3 inhibition test was not inhibition. Determination FT3, FT4 is common and increased serum TSH can be highly sensitive to low and could not be determined. ⑤ systemic symptoms are serious, Yingruo clearly emaciated, systemic failure, depression indifferent, and sometimes he was confused, and even coma. Senile hyperthyroidism is easily missed, misdiagnosis. To be vigilant. Treatment Treatment use of anti-thyroid drugs, radioactive iodine therapy can also be used, in addition, supported by reserpine, and all kinds of support to be symptomatic therapy.