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A Rarity in a Common Disease: Thyroid Paraganglioma

Thyroid nodule is extremely common in clinical practice. An evaluation of thyroid nodule is often straightforward. However, pathologic findings can occasionally be surprising. A 42-year-old previously healthy man was referred to the endocrinology clinic with asymptomatic neck enlargement noted during evaluation of acid reflux symptom. He had no previous radiation exposure to the head and […]

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nurse sitting with an elderly patient

Hypothyroid Symptoms Fail to Predict Thyroid Insufficiency in Old People: A Population-Based Case-Control Study

  Clinic-based studies have indicated that older hypothyroid patients may present only few symptoms. Methods In this population-based study of hypothyroidism, we investigated how the power of symptom presence predicts overt hypothyroidism in both young and older subjects. We identified patients newly diagnosed with overt autoimmune hypothyroidism in a population (n = 140, median thyroid-stimulating hormone, […]

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A Rare Diagnosis of a Thyroid Mass

  A 21-year-old woman presented with a neck mass, heat intolerance, and palpitations for the previous 2 weeks. She was found to have a diffusely enlarged thyroid gland and tachycardia on examination. Thyroid-stimulating hormone, triiodothyronine (T3), and thyroxine (T4) were elevated, and radioactive iodine uptake study showed poor uptake. Subacute thyroiditis was treated with a […]

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The Underlying ‘Inferno’

Thyroid Bruit and the Underlying ‘Inferno’ The normal thyroid has the most abundant blood flow of any tissue in the body. Early descriptions of color-flow Doppler ultrasonography in pathologic states of hyperthyroidism referred to the dramatic picture of elevated blood supply to the gland as the “thyroid inferno.”(1) Systolic-diastolic or systolic thyroid bruits have been […]

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Don’t Forget the Thyroid

Don’t Forget the Thyroid: Graves’ Disease An atypical presentation can confound the diagnosis, and that is what happened when a 33-year-old African-American woman presented to another hospital with a 3-month history of worsening abdominal pain. She had been in good health until she started experiencing persistent abdominal pain and distension associated with nausea, vomiting, loose […]

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