typical presentations of thyrotoxicosis

Last reviewed 10/2023

• increased heat production - warm, moist skin, heat intolerance

• telangiectasia, palmar erythema, pretibial myxoedema, onycholysis

• weight loss, increased appetite, increased frequency of bowel movement but frank diarrhoea is uncommon; steatorrhoea may occur; dyspepsia; like juvenile-onset diabetes mellitus, may cause a decrease in weight despite an increased appetite

• oligomenorrhoea

• tachycardia, exertional dyspnoea, hyperdynamic circulation; systolic hypertension is common and diastolic hypertension can occur in up to 30% of patients

• tiredness, irritability, nervousness

• fine tremor, hyperkinesia

• there are eye signs in Graves' disease

Others:

• occasionally, bone pain due to osteoporosis
• in elderly patients, there may be atrial fibrillation or cardiac failure
• alopecia, pruritus, pretibial myxoedema, acropachy