Schindel B
Endocrine Unit, Beilinson Medical Center, Petah Tikvah.
Harefuah. 1991 Jul;121(1-2):13-5.
The assumption that hypothyroidism has a typical presentation can lead to error. Although a common disease in adults and easily treated, the diagnosis can be missed for years. Failure to recognize the rare signs and symptoms of hypothyroidism leads to unnecessary morbidity and rarely, even to death, from myxedema coma. We discuss a number of cases which presented over the past few years with less recognized symptoms, such as convulsions, acute psychosis, neuromuscular disturbances and deafness. Other atypical presenting symptoms that have been described include intestinal pseudo-obstruction and bleeding disorders. One should be aware of these varied presentations of hypothyroidism.
认为甲状腺功能减退有典型表现的假设可能会导致误诊。虽然甲状腺功能减退在成年人中是一种常见疾病且易于治疗，但多年来仍可能漏诊。未能识别甲状腺功能减退的罕见体征和症状会导致不必要的发病，甚至极少情况下会因黏液性水肿昏迷导致死亡。我们讨论了过去几年出现的一些病例，这些病例表现出较少被认识到的症状，如惊厥、急性精神病、神经肌肉紊乱和耳聋。其他已被描述的非典型症状包括肠道假性梗阻和出血性疾病。人们应该意识到甲状腺功能减退的这些多样表现。
