Ozair Saleha, Maldonado-Rivera Hiram, Medina-Morales Kimberly, Marti Echols, Angueira-Serrano Eugenio, Michel George
Internal Medicine, Larkin Community Hospital, South Miami, USA.
Endocrinology, Larkin Community Hospital, South Miami, USA.
Cureus. 2023 Jul 7;15(7):e41528. doi: 10.7759/cureus.41528. eCollection 2023 Jul.
This case report underscores the significance of maintaining a broad list of differential diagnoses, including adrenal insufficiency, when evaluating patients who present with recurring episodes of hypotension and generalized fatigue. It further underscores that T3 thyrotoxicosis can manifest as the initial and sole presenting feature of Graves' disease. Finally, it emphasizes the critical importance of employing a multidisciplinary approach to discharge high-risk patients from the hospital to minimize the risk of acute decompensation.
本病例报告强调了在评估出现反复低血压发作和全身疲劳的患者时,保持包括肾上腺功能不全在内的广泛鉴别诊断清单的重要性。它进一步强调,T3甲状腺毒症可表现为格雷夫斯病的初始和唯一表现特征。最后,它强调了采用多学科方法让高危患者出院以尽量降低急性失代偿风险的至关重要性。