Document Detail

Apathetic thyrotoxicosis secondary to atypical subacute thyroiditis.
MedLine Citation:
PMID:  22548945     Owner:  NLM     Status:  Publisher    
Objective While most cases of apathetic thyrotoxicosis have been linked to Graves' disease, there are few reports demonstrating subacute thyroiditis as the etiology.Methods We report the case of an 85-year-old female with no history of thyroid disease who presented to us severely obtunded with altered mental status.Results The patient was found to have elevated free thyroxine (FT4) and triiodothyronine (FT3) with suppressed thyroid stimulating hormone (TSH). Thyroid antibodies were negative. A radioactive iodine study revealed severely diminished uptake, suggestive of thyroiditis. After a short course of steroids, the patient's mental status returned to baseline. Follow up lab work showed normalizing thyroid function tests.Conclusion Even in the absence of a history of thyroid disease, we recommend considering thyroid dysfunction in the differential diagnosis for those presenting with altered mental status, particularly in the elderly population.
Alessia L Carluccio; Nina K Sundaram; Robert T Yanagisawa; Yaron J Tomer
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-5-1
Journal Detail:
Title:  Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists     Volume:  -     ISSN:  1934-2403     ISO Abbreviation:  -     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-5-2     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9607439     Medline TA:  Endocr Pract     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1-9     Citation Subset:  -    
Mount Sinai Medical Center.
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