More, less or both?
Autor: | Merel van Andel, Albertus J. Kooter, Ilias Attaye |
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Přispěvatelé: | Internal medicine, ACS - Diabetes & metabolism, Graduate School |
Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Tachycardia
Pediatrics medicine.medical_specialty Weakness Adrenal disorder Nausea adrenal disorders 030209 endocrinology & metabolism Unusual Association of Diseases/Symptoms Blood Urea Nitrogen 03 medical and health sciences 0302 clinical medicine Addison Disease Adrenocorticotropic Hormone Weight loss medicine Humans Medical history thyroid disease 030212 general & internal medicine Aged business.industry Thyroid disease General Medicine medicine.disease Graves Disease endocrine system Thyrotoxicosis Concomitant Creatinine Female medicine.symptom business Biomarkers |
Zdroj: | Kooter, AJ, Attaye, I & Andel v, M 2018, ' More, less or both? ', BMJ Case Reports, vol. 2018, bcr-2017-222355 . https://doi.org/10.1136/bcr-2017-222355 BMJ Case Reports, 2018:bcr-2017-222355. BMJ Publishing Group BMJ case reports, 2018:bcr-2017-222355. BMJ Publishing Group BMJ Case Reports |
ISSN: | 1757-790X |
Popis: | A 67-year-old Caucasian woman with no prior medical history was admitted to our hospital with complaints of generalised weakness, nausea, diarrhoea and weight loss. The patient suffered from tachycardia and hypotension. Blood tests revealed Graves' thyrotoxicosis and the patient was treated accordingly. However, patient's health continued to decline rapidly and further tests revealed a concomitant Addisonian crisis. Additional treatment with corticosteroids led to a full recovery. It is well known that autoimmune endocrine disorders tend to cluster. However, the presentation is usually sequential in time. This case reports the highly rare simultaneous presentation of Addison's disease and Graves' thyrotoxicosis. It also provides several suggestions to help establish the diagnoses. |
Databáze: | OpenAIRE |
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