NDLI: Rare presentations of hyperthyroidism--Basedow's paraplegia and pancytopenia.

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Rare presentations of hyperthyroidism--Basedow's paraplegia and pancytopenia.

Year: 2009 Volume: 27 Issue: 1

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Rare presentations of hyperthyroidism--Basedow's paraplegia and pancytopenia.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Chen, Yi-Hsien Lin, Hung-Jung Chen, Kuo-Tai
Description	Country affiliation: Taiwan Author Affiliation: Chen YH ( Emergency Department, Chi-Mei Medical Center, Tainan, Yungkang 710, Taiwan.)
Abstract	Typical presentations of hyperthyroidism are palpitation, nervousness, tremor, malaise, and weight loss. Hyperthyroidism affects nearly every system in the body, and some patients may manifest neurologic or hematologic symptoms. Atypical presentations of hyperthyroidism often pose a great challenge in diagnosis and treatment. We report a case of Basedow's paraplegia and pancytopenia that was precipitated by hyperthyroidism. The unusual manifestations led to unnecessary examinations and delayed the treatment of hyperthyroidism. The classical symptoms of Basedow's paraplegia are subacute symmetric weakness of the lower extremities with areflexia and sparing sensation or sphincter involvement. Control of the hyperthyroidism mitigated the neurologic and hematologic complications and prevented unnecessary studies.
File Format	HTM / HTML
ISSN	07356757
Issue Number	2
Volume Number	27
e-ISSN	15328171
Journal	The American Journal of Emergency Medicine
Language	English
Publisher	Elsevier
Publisher Date	2009-02-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Emergency Discipline Medicine Hyperthyroidism Diagnosis Adrenergic Beta-antagonists Therapeutic Use Adult Antithyroid Agents Female Humans Complications Drug Therapy Methimazole Pancytopenia Etiology Paraplegia Propranolol Case Reports Journal Article
Content Type	Text
Resource Type	Article Case study
Subject	Emergency Medicine

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