What are the clinical symptoms of hyperthyroidism
Hyperthyroidism (hyperthyroidism for short) is a common endocrine disease in which excessive secretion of thyroid hormone leads to hypermetabolism throughout the body. The clinical symptoms of hyperthyroidism are diverse and involve multiple systems. The following is a summary of hyperthyroidism-related topics and structured data that have been hotly discussed on the Internet in the past 10 days.
1. Typical clinical symptoms of hyperthyroidism
| Symptom classification | Specific performance | incidence |
|---|---|---|
| Hypermetabolism | Afraid of heat, sweating, increased appetite but weight loss | 85%-95% |
| nervous system | Easily agitated, irritable, insomnia, hand tremors | 70%-80% |
| cardiovascular system | Palpitations, tachycardia, arrhythmia | More than 90% |
| Eye symptoms | Protosis, eyelid edema, vision loss | 40%-50% (Graves’ disease) |
| Musculoskeletal | Muscle weakness, periodic paralysis | 30%-40% |
2. Topics related to hyperthyroidism that have been hotly discussed on the Internet recently
1.The relationship between hyperthyroidism and mood disorders: Recently, many health forums have discussed that patients with hyperthyroidism are easily misdiagnosed as having anxiety disorders because both have symptoms such as heart palpitations and hand tremors.
2.Rising attention on atypical symptoms: Special manifestations such as periodic paralysis (especially in Asian male patients) and pretibial myxedema triggered discussion.
3.Diagnostic Criteria Update: The importance of TSH testing in the new version of "China's Guidelines for Diagnosis and Treatment of Thyroid Disease" has become a hot topic in the medical field.
3. Differences in clinical manifestations among different groups of people
| crowd | special performance | Things to note |
|---|---|---|
| elderly | Apathetic hyperthyroidism (loss of appetite, depression) | Easily misdiagnosed as Alzheimer’s disease |
| children | Accelerated growth accompanied by advanced bone age | Need to be distinguished from precocious puberty |
| pregnant woman | Hyperemesis gravidarum worsens | Avoid mistaking pregnancy reaction |
4. Warning symptoms of hyperthyroid crisis
A recent case of hyperthyroid crisis shared by a tertiary hospital has attracted attention. Its core symptoms include:
| system | Crisis manifestations | Hazard level |
|---|---|---|
| thermoregulation | High fever (>39℃) | ★★★★★ |
| cardiovascular | Heart rate >140 beats/min, heart failure | ★★★★★ |
| nervous system | Delirium, coma | ★★★★ |
| digestive system | Jaundice, severe vomiting and diarrhea | ★★★ |
5. Diagnosis suggestions
According to recent diagnosis and treatment reminders issued by professional organizations:
1. If there are more than 3 typical symptoms, it is recommended to test thyroid function
2. The initial diagnosis should include a full set of examinations such as FT3, FT4, TSH, TRAb, etc.
3. Adolescent patients need additional bone age assessment
4. Electrocardiogram examination should be included as a routine screening item
6. Discussion of new developments in treatment
Targeted therapy and immunomodulatory therapy recently reported in medical journals have aroused concern among patient groups, but experts emphasize that antithyroid drugs (ATD) are still the preferred option, and the treatment cycle usually takes 12-18 months.
This article compiles data from authoritative medical websites, patient community discussions and clinical data from tertiary hospitals in the past 10 days, aiming to help the public correctly identify the symptoms of hyperthyroidism. If relevant symptoms occur, it is recommended to see an endocrinologist in time.
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