Lucke C, Kleff G A, Weiss D
Aktuelle Gerontol. 1983 Nov;13(6):217-20.
Clinical symptoms in elderly patients with hyperthyroidism are atypical and uncharacteristic. In 13 patients with overt hyperthyroidism a goiter was found in only half the patients, eye signs in just three of them. Tachycardias, sometimes even paroxysmal tachycardias, predominate. In old people the diagnosis of hyperthyroidism is frequently missed, in 11 of 13 patients the disease was diagnosed following transfer to the rehabilitation center. About 50% of patients were iodine contaminated and this may have contributed to the disease. Data are presented to demonstrate that hyperthyroidism in old age may be a life threatening disease.
老年甲亢患者的临床症状不典型且无特征性。在13例显性甲亢患者中,仅半数患者发现甲状腺肿大,仅有3例有眼部体征。心动过速,有时甚至是阵发性心动过速较为常见。老年人甲亢常易漏诊,13例患者中有11例是在转至康复中心后才得以诊断。约50%的患者有碘污染,这可能是发病的原因之一。现有数据表明老年甲亢可能是一种危及生命的疾病。