BOXALL E A, LAUENER R W, MCINTOSH H W
Can Med Assoc J. 1964 Aug 1;91(5):204-11.
Patients with hyperthyroidism usually present with symptoms of hypermetabolism with or without goitre and/or eye signs. Occasionally, however, the chief complaints are not immediately suggestive of hyperthyroidism. Patients with hyperthyroidism are described who presented with such atypical manifestations as periodic muscular paralysis, myasthenia, myopathy, encephalopathy, psychosis, angina pectoris, atrial fibrillation, heart failure without underlying heart disease, skeletal demineralization, pretibial myxedema, unilateral eye signs, and pitting edema of the ankles.
甲状腺功能亢进症患者通常表现为代谢亢进症状，有或无甲状腺肿大及/或眼部体征。然而，偶尔主要症状并不立即提示甲状腺功能亢进症。本文描述了一些甲状腺功能亢进症患者，他们表现出如周期性肌肉麻痹、重症肌无力、肌病、脑病、精神病、心绞痛、心房颤动、无潜在心脏病的心力衰竭、骨骼脱矿质、胫前黏液性水肿、单侧眼部体征以及脚踝凹陷性水肿等非典型表现。
