Starkova N T, Vnotchenko S L, Aleksandrova G F, Kotova G A
Probl Endokrinol (Mosk). 1985 Sep-Oct;31(5):75-8.
The authors describe rather rare clinical forms of diffuse toxic goiter with bradycardia, pretibial myxedema, the absence of ophthalmic sings and noticeable cachexy. All necessary investigations for more rational differential diagnosis are enlisted. A possibility of the development of the clinical picture of thyrotoxicosis in TTH producting hypophyseal adenomas, chorionepithelioma and hydatidiform mole is emphasized.
作者描述了弥漫性毒性甲状腺肿的罕见临床形式,伴有心动过缓、胫前黏液性水肿、无眼部症状和明显恶病质。列出了所有必要的检查,以便进行更合理的鉴别诊断。强调了产生促甲状腺素的垂体腺瘤、绒毛膜上皮癌和葡萄胎中发生甲状腺毒症临床表现的可能性。