| Thyrotoxic Dysphagia in an 82-year-old male. | |
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MedLine Citation:
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PMID: 21317989 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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Dysphagia is a common problem in elderly patients and a rare manifestation of Graves' disease. We report a case of an 82-year-old male who presented with a 4-week history of dysphagia and weight loss. Workup for his dysphagia with upper endoscopy, MRI brain, electromyography, acetyl-cholinesterase receptor antibodies, and voltage-gated calcium channel antibodies were negative. Modified Barium swallow test showed oropharyngeal dysphagia. Thyroid function tests that revealed hyperthyroidism and antibodies to TSH-receptor were positive. Based on the above findings, we considered Graves' disease as the most likely diagnosis. Patient was treated with methimazole and beta-blockers and subsequently his dysphagia resolved. This paper highlights the importance to clinicians of considering thyrotoxicosis as possible diagnosis in an elderly patient presenting with unexplained dysphagia. |
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Authors:
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Konstantinos Parperis; Ramona Dadu; Sheikh Hoq; Vivian Argento |
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Publication Detail:
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Type: Journal Article Date: 2011-01-16 |
Journal Detail:
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Title: Case reports in medicine Volume: 2011 ISSN: 1687-9635 ISO Abbreviation: Case Report Med Publication Date: 2011 |
Date Detail:
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Created Date: 2011-02-14 Completed Date: 2011-07-14 Revised Date: 2011-07-25 |
Medline Journal Info:
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Nlm Unique ID: 101512910 Medline TA: Case Report Med Country: United States |
Other Details:
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Languages: eng Pagination: 929523 Citation Subset: - |
Affiliation:
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Department of Internal Medicine, Bridgeport Hospital, Yale University School of Medicine, 267 Grant Street, Bridgeport, CT 06610, USA. |
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