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Hyperthyroidism in the elderly. I. Clinical manifestations.

L Dumitriu, H Ursu

    Endocrinologie
    |April 1, 1985
    PubMed
    Summary

    In elderly patients with hyperthyroidism, weight loss, palpitations, and goiter are common. Heart conditions like atrial fibrillation and heart disease are also prevalent in this demographic.

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    Area of Science:

    • Endocrinology
    • Geriatrics
    • Internal Medicine

    Background:

    • Hyperthyroidism is a common endocrine disorder, particularly in the elderly.
    • Clinical manifestations can vary significantly with age.
    • Understanding these variations is crucial for timely diagnosis and management.

    Purpose of the Study:

    • To identify the most frequent clinical manifestations of hyperthyroidism in elderly patients.
    • To assess the prevalence of specific symptoms and complications in this age group.

    Main Methods:

    • A study was conducted on 100 elderly patients diagnosed with hyperthyroidism.
    • Clinical data, including symptoms and physical findings, were collected and analyzed.

    Main Results:

    • The most common symptoms observed were weight loss (83%), palpitations (85%), nodular goiter (71%), and tremor (74%).
    • Thyrotoxic atrial fibrillation and thyrotoxic heart disease were present in 42% and 51% of patients, respectively.
    • Apathetic hyperthyroidism was noted in 2% of patients.

    Conclusions:

    • Elderly hyperthyroid patients frequently present with weight loss, palpitations, goiter, and tremor.
    • Cardiac complications, including atrial fibrillation and heart disease, are highly prevalent in this population.
    • The findings highlight the importance of recognizing diverse clinical presentations in geriatric hyperthyroidism.

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