Thyrotoxic Dysphagia in an 82-Year-Old Male
Dysphagia is a common problem in elderly patients and a rare manifestation of Graves' disease. We report a case of an 82-year-old male who presented with a 4-week history of dysphagia and weight loss. Workup for his dysphagia with upper endoscopy, MRI brain, electromyography, acetyl-cholinester...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2011/929523 |
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| author | Konstantinos Parperis Ramona Dadu Sheikh Hoq Vivian Argento |
| author_facet | Konstantinos Parperis Ramona Dadu Sheikh Hoq Vivian Argento |
| author_sort | Konstantinos Parperis |
| collection | DOAJ |
| description | Dysphagia is a common problem in elderly patients and a rare manifestation of Graves' disease. We report a case of an 82-year-old male who presented with a 4-week history of dysphagia and weight loss. Workup for his dysphagia with upper endoscopy, MRI brain, electromyography, acetyl-cholinesterase receptor antibodies, and voltage-gated calcium channel antibodies were negative. Modified Barium swallow test showed oropharyngeal dysphagia. Thyroid function tests that revealed hyperthyroidism and antibodies to TSH-receptor were positive. Based on the above findings, we considered Graves' disease as the most likely diagnosis. Patient was treated with methimazole and beta-blockers and subsequently his dysphagia resolved. This paper highlights the importance to clinicians of considering thyrotoxicosis as possible diagnosis in an elderly patient presenting with unexplained dysphagia. |
| format | Article |
| id | doaj-art-23afdd1fc63145c6a77456de290f5d63 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-23afdd1fc63145c6a77456de290f5d632025-02-03T05:51:03ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/929523929523Thyrotoxic Dysphagia in an 82-Year-Old MaleKonstantinos Parperis0Ramona Dadu1Sheikh Hoq2Vivian Argento3Department of Internal Medicine, Bridgeport Hospital, Yale University School of Medicine, 267 Grant Street, Bridgeport, CT 06610, USADepartment of Internal Medicine, Bridgeport Hospital, Yale University School of Medicine, 267 Grant Street, Bridgeport, CT 06610, USADepartment of Internal Medicine, Bridgeport Hospital, Yale University School of Medicine, 267 Grant Street, Bridgeport, CT 06610, USADepartment of Internal Medicine, Bridgeport Hospital, Yale University School of Medicine, 267 Grant Street, Bridgeport, CT 06610, USADysphagia is a common problem in elderly patients and a rare manifestation of Graves' disease. We report a case of an 82-year-old male who presented with a 4-week history of dysphagia and weight loss. Workup for his dysphagia with upper endoscopy, MRI brain, electromyography, acetyl-cholinesterase receptor antibodies, and voltage-gated calcium channel antibodies were negative. Modified Barium swallow test showed oropharyngeal dysphagia. Thyroid function tests that revealed hyperthyroidism and antibodies to TSH-receptor were positive. Based on the above findings, we considered Graves' disease as the most likely diagnosis. Patient was treated with methimazole and beta-blockers and subsequently his dysphagia resolved. This paper highlights the importance to clinicians of considering thyrotoxicosis as possible diagnosis in an elderly patient presenting with unexplained dysphagia.http://dx.doi.org/10.1155/2011/929523 |
| spellingShingle | Konstantinos Parperis Ramona Dadu Sheikh Hoq Vivian Argento Thyrotoxic Dysphagia in an 82-Year-Old Male Case Reports in Medicine |
| title | Thyrotoxic Dysphagia in an 82-Year-Old Male |
| title_full | Thyrotoxic Dysphagia in an 82-Year-Old Male |
| title_fullStr | Thyrotoxic Dysphagia in an 82-Year-Old Male |
| title_full_unstemmed | Thyrotoxic Dysphagia in an 82-Year-Old Male |
| title_short | Thyrotoxic Dysphagia in an 82-Year-Old Male |
| title_sort | thyrotoxic dysphagia in an 82 year old male |
| url | http://dx.doi.org/10.1155/2011/929523 |
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