Understanding of hyperthyroidism misdiagnosis

-LuoXueHong XiangYa central south university hospital

Hyperthyroidism is short for hyperthyroidism thyroid function, is by DuoZhong causes of thyroid hormone secretion too much a set of common endocrine diseases. Main show is food, angular, sweat, heart palpitations, excitement, metabolic syndrome, high neres and blood essels excited, and enhance different levels of thyroid swollen and eye axon, hands quiver, etc. Because of its clinical performance involves DuoGe system, complicated easily misdiagnosed, or the diagnosis, cause serious consequence.

YinNiXing hyperthyroidism: frequently have no typical hyperthyroidism performance, even display afraid of the cold, anorexia, or to a certain organs for outstanding performance, no symptoms strumous outstanding symptoms and eye, called YinNiXing hyperthyroidism. Therefore, appear unexplained tachycardia, angular, sweating wait for a symptom, be alert YinNiXing hyperthyroidism may. Clinical doctors should pay attention to ask medical history and screening, most can be diagnosed early.

Hyperthyroidism sex heart disease: patients with hyperthyroidism cardiovascular system of the abnormal findings of up to 85%, and hyperthyroidism sex heart disease risk accounts for about 5% of the total number of hyperthyroidism ~ 10%. Therefore, all the cardiovascular system abnormal behavior, especially the elderly people do cause heart disease in the diagnosis, be alert of hyperthyroidism may.

Gastrointestinal type hyperthyroidism: severe or indifference and a third type hyperthyroidism elderly hyperthyroidism, often in diarrhea symptoms, to start easily diagnosed as digestive disorders. Therefore, all increased appetite and angular coexist, diarrhea and move bowels, or normal microscopic unexplained decreased appetite, nausea, vomiting, especially the elderly, should be traced the other performance without hyperthyroidism.

Hyperthyroidism combined liver damage: a study found that 90% of patients with hyperthyroidism liver damage, 20% had jaundice. Therefore, for reasons unknown to the liver function is unusual, the conventional treatment, protect liver effect difference and no other reasons can be found, he shall do the thyroid function, so as not to check the diagnosis.

Hyperthyroidism myopathy: hyperthyroidism sex myopathy generally includes eye flesh is paralytic, myasthenia gravis, chronic myopathy, acute myopathy. Sometimes for hyperthyroidism important performance myopathy or start, so when appear afore-mentioned symptoms any muscle lesions, be alert of hyperthyroidism may.

Hyperthyroidism merger periodic paralysis: JiaKangBing people have a 3% ~ 4% happen periodic paralysis, common in young and middle-aged men. But first, hyperthyroidism appears after the periodic paralysis, also can appear first periodic paralysis and then appear hyperthyroidism.

Hyperthyroidism companion see mental disorders: patients in the long run, the body of hyperthyroidism high metabolic state, the cerebral cortex stimulation, the patient may excited, many words move, insomnia, stress, anxiety, be agitated, suspicious, sometimes hallucinations, even manic, but also have the performance for the quiet and depressed people, often because of the strong spirit symptoms were sent to a mental hospital clinic. All the symptoms of the spirit, not ignore whether for hyperthyroidism, lest the diagnosis misdiagnosis.

Hyperthyroidism merger blood system not only can cause abnormal: hyperthyroidism white and thrombocytopenia, also can cause anemia. Hyperthyroidism anemia is much by malnutrition, iron metabolism disorders, vitamin B12 and folic acid etc, also have caused by disorder that part of the cases can shorten the life with red blood cells. So, for unknown reasons of the white blood cells and thrombocytopenia and anemia, should be in time for the thyroid function, to eliminate the hyperthyroidism check may.

Evil fluid to pledge type hyperthyroidism: accidentally in elderly patients, women see more, often in cardiovascular or gastrointestinal symptoms as the main performance, many experience a significant weakness, angular, lack of power, anorexia, etc. When cancer is terminal evil fluid to pledge, often because there was no strumous and prominent eyes, easily misdiagnosed as malignant tumors. Every old patients appear unexplained anorexia, angular, intractable diarrhea, systemic failure, in addition to consider the tumor outside, still should consider the possibility of hyperthyroidism.

Hyperthyroidism and diabetes: older patients coexist, the two kinds of disease has the highest rate of coexistence. Hyperthyroidism combined incidence of diabetes mellitus in 1% ~ 57%, and the incidence of diabetes mellitus and hyperthyroidism in 23% ~ 38%. Hyperthyroidism and the clinical manifestations of diabetes is similar, if a certain kind of the symptoms of the disease for complaints, it is very easy to misdiagnosis and missed. For patients with diabetes, if suddenly appeared unexplained be agitated, sweat, flustered, hands quiver wait for a symptom, or "a little" san-duo symptom aggravating, should check thyroid function in time.