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Apathetic hyperthyroidism in middle age.

A Palacios1, M A Cohen, R Cobbs

  • 1Metropolitan Hospital Center, New York Medical College.

International Journal of Psychiatry in Medicine
|January 1, 1991
PubMed
Summary
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Apathetic hyperthyroidism, a rare condition primarily affecting the elderly, presents with apathy instead of typical hyperthyroid symptoms. This case study explores its challenges in a middle-aged patient with dementia.

Area of Science:

  • Endocrinology
  • Geriatrics
  • Psychiatry

Background:

  • Apathetic hyperthyroidism, first described in 1931, is a variant of thyrotoxicosis predominantly seen in elderly individuals.
  • This condition often replaces the typical hyperkinetic presentation with apathy and inactivity, potentially leading to misdiagnosis as a psychiatric disorder.

Observation:

  • Literature on apathetic hyperthyroidism is sparse, with most descriptions focusing on the elderly population.
  • It has been rarely reported in children as a complication of hyperthyroid disorder and infrequently in middle-aged individuals.

Findings:

  • This case report highlights the diagnostic and therapeutic complexities of apathetic hyperthyroidism in a middle-aged patient.
  • The patient presented with symptoms mimicking dementia, underscoring the challenges in recognizing this atypical presentation of hyperthyroidism.

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Implications:

  • Recognizing apathetic hyperthyroidism is crucial to avoid misdiagnosis and ensure timely, appropriate treatment.
  • Further research is needed to understand the prevalence and optimal management strategies for apathetic hyperthyroidism across different age groups.