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[The pararheumatic syndrome in thyroid diseases]
Zeitschrift Fur Die Gesamte Innere Medizin Und Ihre Grenzgebiete
|October 1, 1977
Summary
Hypothyroidism frequently presents with "myxoedematous pseudorheumatism," including joint pain and muscle weakness, often alongside polyarthrosis. Hyperthyroidism may show minor upper extremity joint and tissue symptoms.
Area of Science:
- Rheumatology and Endocrinology
- Investigates the intersection of endocrine disorders and rheumatic conditions.
Context:
- Thyroid dysfunction, including hypothyroidism and hyperthyroidism, can manifest with musculoskeletal symptoms.
- Understanding these manifestations is crucial for accurate diagnosis and management.
Purpose:
- To examine the prevalence and characteristics of para- or pseudorheumatic symptomatology in patients with hypothyroidism and hyperthyroidism.
- To compare these findings with age- and sex-matched control groups.
- To identify potential associations between thyroid disorders and rheumatic conditions.
Summary:
- Hypothyroidism (25 patients) frequently exhibited 'myxoedematous pseudorheumatism,' characterized by polyarthralgias, myalgias, muscle weakness, and digital swelling, often co-occurring with polyarthrosis.
- Associated conditions included cervicobrachial syndrome, humeroscapular periarthritis, tendinous calcifications, gout, and carpal tunnel syndrome, posing diagnostic challenges.
- Hyperthyroidism (100 patients) presented with less severe joint and upper extremity tissue symptoms.
Impact:
- Highlights the significant rheumatologic impact of hypothyroidism, emphasizing 'myxoedematous pseudorheumatism' as a distinct clinical entity.
- Underscores the importance of considering thyroid dysfunction in patients presenting with unexplained rheumatic symptoms.
- Aids in differential diagnosis by differentiating thyroid-related musculoskeletal issues from primary rheumatic diseases.