20 cases of atypical hyperthyroidism Misdiagnosis.docVIP

 PAGE \* MERGEFORMAT 9 20 cases of atypical hyperthyroidism Misdiagnosis Author: Gen-Tang Han-Yun Ye Jue Wu Shen Kun [Keywords:] are not typical of clinical misdiagnosis of hyperthyroidism Hyperthyroidism refers to the high-functional state of thyroid gland showing a group of diseases whose common feature is a result of increased secretion of thyroid hormone metabolism and basic metabolism of high growth and increased excitability of the sympathetic nervous system is a relatively common endocrine disease . A typical case is easy to diagnose, atypical clinical manifestations are more complex and diversity, or a certain system disease symptoms as the main performance, easily misdiagnosed. This study of 20 cases of misdiagnosed cases were analyzed retrospectively in order to deepen understanding of the disease, improve diagnosis and treatment. Are reported below. 1 Data and methods 1.1 General Information Select from September 1992 to June 2008 in Tongxiang City Second People’s Hospital of the treatment of 20 cases of atypical hyperthyroidism misdiagnosed cases, the time from onset to diagnosis ranged from 2 to 25 months. 6 cases were male, female 14 cases, male to female ratio of 1:2.30. Aged 18 to 82 years, mean age (41.75 ± 22.70) years, of which 18 to 36 years old in 11 cases, 40 to 60 years in 3 cases, 65 to 82 years in 6 cases. 1.2 Methods 20 cases of atypical hyperthyroidism misdiagnosed cases were retrospectively analyzed blood thyroid function test [3 triiodothyronine (triiodothyronine, TT3), acid-thyroid hormone (thyroxine, TT4), serum fluid from the T3 (serum free T3, FT3), serum fluid from the T4 (serum free T4, FT4) and thyroid-stimulating hormone (thyroid stimulating hormone, TSH)], TT3, TT4, FT3, FT4 and TSH were increased to varying degrees in varying degrees to reduce the diagnosis of hyperthyroidism, after effective treatment of anti-thyroid drugs. And misdiagnosis analysis. 1.3 diagnostic criteria without typical clinical manifestations