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Iranian Journal of Emergency Medicine

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  3. Vol. 9 No. 1 (2022): Continuous volume
  4. Case Report

Continuous volume
Vol. 9 No. 1 (2022)

Unexpected Diagnosis of Graves' Disease in a 75-year-old Man with Progressive Dysphagia; a Case Report

  • Yasaman Fatoorechi
  • Alireza Bahmani

Iranian Journal of Emergency Medicine, Vol. 9 No. 1 (2022), , Page e35
https://doi.org/10.22037/ijem.v9i1.39695 Published 31 October 2022

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Abstract

Graves' disease is the most common cause of hyperthyroidism in all age groups, although due to the decrease in the incidence of classic hyperthyroid symptoms and Graves' disease and uncommon symptoms in the elderly, timely diagnosis and treatment of the disease are often complicated. For this reason, mortality and morbidity rate increases in the aged groups. This article discusses a case report of an elderly patient who went to the emergency room with progressive dysphagia of solids and liquids and was admitted to the gastroenterology department. In the subsequent follow-ups, the response to the treatment was visible in the patient, and the patient's dysphagia was resolved mainly, which shows the high importance of thyroid tests in the el. Timely diagnosis in this age group will reduce mortality.

Keywords:
  • Hyperthyroidism
  • Graves' disease
  • Aged groups
  • pdf (فارسی)

How to Cite

Fatoorechi, Y., & Bahmani, A. (2022). Unexpected Diagnosis of Graves’ Disease in a 75-year-old Man with Progressive Dysphagia; a Case Report. Iranian Journal of Emergency Medicine, 9(1), e35. https://doi.org/10.22037/ijem.v9i1.39695
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References

Ajish TP, Jayakumar RV. Geriatric thyroidology: An update. Indian J Endocrinol Metab. 2012;16(4):542-7.

Pokhrel B, Bhusal K. Graves disease. 2017.

Sharma P. The Unlikely Suspect: A Case Report of New-Onset Hyperthyroidism Due to Graves' Disease in an 89-Year-Old Gentleman and Review of Literature. Cureus. 2022;14(1).

McLachlan S, Pegg C, Atherton M, Middleton S, Clark F, Smith BR. TSH receptor antibody synthesis by thyroid lymphocytes. Clinical endocrinology. 1986;24(2):223-30.

Trivalle C, Doucet J, Chassagne P, Landrin I, Kadri N, Menard JF, et al. Differences in the signs and symptoms of hyperthyroidism in older and younger patients. Journal of the American Geriatrics Society. 1996;44(1):50-3.

Noto H, Mitsuhashi T, Ishibashi S, Kimura S. Hyperthyroidism presenting as dysphagia. Internal Medicine. 2000;39(6):472-3.

Chiu W-Y, Yang C-C, Huang I, Huang T-S. Dysphagia as a Manifestation of Thyrotoxicosis: Report of ThreeCases and Literature Review. Dysphagia. 2004;19(2):120-4.

Samuels MH. Hyperthyroidism in aging. Endotext [Internet]. 2021.

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