Hypothyroidism history and symptoms: Difference between revisions

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==History==
==History==
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==Common Symptoms==
 
* Bradycardia
==Symptoms==
* [[muscle hypotonia]] and weakness
Symptoms can be classified by age, and the stage the symptoms appear:
* [[Muscle cramps]]
 
===Adults===
In adults, hypothyroidism is associated with the following symptoms:
====Early symptoms====
* Poor muscle tone ([[muscle hypotonia]])
* [[Fatigue (medical)|Fatigue]]
* [[Fatigue (medical)|Fatigue]]
* Cold intolerance, increased sensitivity to cold
* Cold intolerance, increased sensitivity to cold
* [[Constipation]]
* [[Constipation]]
* [[Weight gain]]
* [[Weight gain]]
* [[Muscle cramps]] and [[joint pain]]
* [[Decreased libido]]
* Thin, [[Brittle fingernails]]
* Periorbital oedema
* Thin, brittle hair
* [[joint pain]]
* [[Paleness]]<ref name=nlm> [http://www.nlm.nih.gov/medlineplus/ency/article/000367.htm#Symptoms NLM] </ref>
* [[Paleness]]


====Late symptoms====
== Less common symptoms ==
* Slowed speech and a [[hoarse]], breaking voice. Deepening of the voice can also be noticed.
* Menstrual disturbance
* Dry puffy skin, especially on the face
* Galactorrhoea
* Thinning of the outer third of the eyebrows
* Abnormal [[menstrual cycles]]
* Low [[basal body temperature]]<ref name=nlm/>


====Less common symptoms====
* Thin, [[Brittle fingernails]]
* Heat intolerance, increased sensitivity to heat
* Thin, brittle hair<ref name="nlm">[http://www.nlm.nih.gov/medlineplus/ency/article/000367.htm#Symptoms NLM] </ref>
* Impaired [[memory]]
* Hoarseness
* Impaired cognitive function (brain fog) and inattentiveness
* [[Goitre]]
* [[Urticaria]] (hives)
* Impaired memory
* [[Migraine]] headache
* Slowed mental processing and impaired cognitive function (brain fog) and inattentiveness
* A [[bradycardia|slow heart rate]] with [[ECG]] changes including low voltage signals. Diminished cardiac output and decreased contractility.
* Depression
* [[Reactive hypoglycemia|Reactive (or post-prandial) hypoglycemia]]<ref name="hypoglycemia"> Fred D.Hofdelt, Stephen Dippe, Peter H. Forshman  "Diagnosis and classification of reactive hypoglycemia based on hormonal changes in response to oral and intravenous glucose administration" ''The American Journal of Clinical Nutrition''[http://www.ajcn.org/cgi/reprint/25/11/1193.pdf]</ref>
* [[Pericardial effusion]]s may occur.
* Sluggish [[reflex action|reflexes]]
* [[hair loss]]
* [[Anemia]] caused by impaired hemoglobin synthesis (decreased [[Erythropoietin|EPO]] levels), impaired intestinal iron and [[folate]] absorption or B12 deficiency from [[pernicious anemia]]
* [[anxiety]]/panic attacks
* [[anxiety]]/panic attacks
* [[difficulty swallowing]]
* [[difficulty swallowing]]
* [[Shortness of breath]] with a shallow and slow respiratory pattern.
* Impaired ventilatory responses to [[hypercapnia]] and [[Hypoxia (medical)|hypoxia]].
* Increased need for sleep
* [[Osteopenia]] or [[Osteoporosis]]
* [[Irritability]] and mood instability
* Yellowing of the skin due to impaired conversion of [[beta-carotene]] to vitamin A
* Impaired renal function with decreased [[Glomerular filtration rate|GFR]].
* Thin, fragile or absent [[eponychium|cuticles]]
* [[Elevated serum cholesterol]]
* Acute psychosis ([[myxedema madness]]) is a rare presentation of hypothyroidism
* Acute psychosis ([[myxedema madness]]) is a rare presentation of hypothyroidism
* [[Decreased libido]]
* Decreased sense of taste and smell (late, less common symptoms)
* Decreased sense of taste and smell (late, less common symptoms)
* Puffy face, hands and feet (late, less common symptoms)
* Puffy face, hands and feet (late, less common symptoms)
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* [[short stature]]
* [[short stature]]
* [[mental retardation]] if present at birth, and untreated.
* [[mental retardation]] if present at birth, and untreated.
* Growth failure


===Severity===
===Severity===
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==References==
==References==
{{reflist|2}}
{{reflist|2}}
[[Category:Endocrinology]]
{{WS}}
{{WH}}

Latest revision as of 16:32, 6 July 2017

Hypothyroidism Main page

Patient Information

Overview

Classification

Primary hypothyroidism
Hashimoto's thyroiditis
Secondary hypothyroidism
Tertiary hypothyroidism

Differentiating different causes of hypothyroidism

Screening

Diagnosis

History and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The ability of Hypothyroidism to mimic a number of medical conditions originates in the vast functions of the thyroid hormones, which are reduced or absent in this case. The functions of thyroid hormones include modulation of carbohydrate, protein and fat metabolism, vitamin utilization, mitochondrial function, digestive process, muscle and nerve activity, blood flow, oxygen utilization, hormone secretion and sexual and reproductive health[1] to mention a few. Thus, when the thyroid hormone content gets out of balance, systems covering the whole body are affected, and that's why hypothyroidism can look like other diseases. Conversely, sometimes other conditions can be mistaken for hypothyroidism.

History

Common Symptoms

Less common symptoms

  • Menstrual disturbance
  • Galactorrhoea
  • Thin, Brittle fingernails
  • Thin, brittle hair[2]
  • Hoarseness
  • Goitre
  • Impaired memory
  • Slowed mental processing and impaired cognitive function (brain fog) and inattentiveness
  • Depression
  • anxiety/panic attacks
  • difficulty swallowing
  • Acute psychosis (myxedema madness) is a rare presentation of hypothyroidism
  • Decreased sense of taste and smell (late, less common symptoms)
  • Puffy face, hands and feet (late, less common symptoms)

Pediatric

Hypothyroidism in pediatric patients can cause the following additional symptoms:

Severity

The severity of hypothyroidism varies widely. Some have few overt symptoms, others with moderate symptoms can be mistaken for having other diseases and states. Advanced hypothyroidism may cause severe complications including cardiovasular and psychiatric myxedema.

References

  1. "Comprehensive Thyroid Assessment". Unknown parameter |publsiher= ignored (|publisher= suggested) (help)
  2. NLM

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