Gambert S R
Department of Medicine, New York Medical College, Valhalla, USA.
Clin Geriatr Med. 1995 May;11(2):181-8.
Hyperthyroidism must be considered whenever there is a change in an older person's physical or mental functioning. Screening tests will hopefully lead to an earlier diagnosis; however, the best way to recognize this problem early is to have a high index of suspicion and familiarity with appropriate thyroid function tests. Symptoms are notable for their atypical presentation, with some elderly presenting in an apathetic state. The most common cause of thryotoxicosis is a toxic nodular gland, and treatment usually requires radioiodine.
每当老年人的身体或精神功能出现变化时,都必须考虑甲状腺功能亢进症。筛查测试有望实现早期诊断;然而,早期识别这个问题的最佳方法是保持高度的怀疑指数并熟悉适当的甲状腺功能测试。症状以其非典型表现而显著,一些老年人表现为冷漠状态。甲状腺毒症最常见的原因是毒性结节性腺体,治疗通常需要放射性碘。