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Hyperthyroidism;Regulation of thyroid hormone;Introduction;Classification;
Pituitary TSH adenoma
TH insensitive syndrome in Pituitary;Struma ovarii accompany hyperthyroidism
Thyrotoxicosis factitia
Temporary Thyrotoxicosis without goiter or other cause;85%
Male to female 1:4-6
Chief clinical findings; Abnormal immune: TRAb
Heredity
Infection: Molecular mimicry
Cytokine
Superantigen
Spirit irritation ;Clinical manifestation;Nervous system: Nervousness, emotional lability, irritability, fine tremor of hands.
Cardiovascular: Palpitation, tachycardia, atrial fibrillation, widened pulse pressure.
Gastrointestinal: Increased appetite, Hyper-defecation, diarrhea
Hematologic system: Moderate neutropenia, mild anemia.
Others: Muscle atrophy, oligomenorrhear.;non-infiltration exophthalmos ;Subjective symptoms：
intolerance of light, excessive tearing, double vision, blurred vision， sense of irritation in eyes
signs：
constriction of field，
The degree of exophthalmos 18mm, and dissymmetry,
conjunctival congestion and corneal ulcer, panophthalmitis，loss of sight;Graves Ophthalmopathy;14;15;16;picture 1;Clinical manifestation;Laboratory Diagnosis;Diagnosis;Differential diagnosis;Treatment;Thionamides : ;Iodinating agents
Beta-blocking agents: Propranolol
Thyroid hormone;Treatment;Thyroid surgery;Treatment;Thanks
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