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HYPERTHYROIDISM IN THE ELDERLY
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DOI：10.1111/j.1532-5415.1986.tb07264.x.png)
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Abstract
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Hyperthyroidism in the elderly is a great masquerader. We will present a summary of a remarkable patient to serve as a background for an analysis of present knowledge about the diagnosis and treatment of this condition. Hyperthyroidism is a difficult diagnosis to make at any age, but the diagnosis of even severe, life-threatening hyperthyroidism can especially easily be missed in patients over 60. In this age group, only a minority of patients present the classical features of thyrotoxicosis-tremor, tachycardia, nervousness, exophthalmos, heat intolerance, and weight loss despite increased appetite. The common presentations imitate cardiac, gastrointestinal, neuropsychiatric, or neuromuscular diseases; the possibility of hyperthyroidism is obscured by prominent symptoms and signs pointing to these nonendocrine systems.
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