Hypothyroidism Signs, Symptoms and Diagnosis of Hypothyroidism

   

Hypothyroidism may produce many symptoms. The alternative term 'myxoedema' refers to the accumulation of mucopolysaccharide in subcutaneous tissues.


Symptoms of Hypothyroidism

Patient becomes:

  • slow,
  • dry-haired,
  • thick-skinned,
  • deep-voiced patient with weight gain,
  • cold intolerance,
  • bradycardia and
  • Constipation

Milder symptoms are, however, more common and hard to distinguish from other causes of non-specific tiredness. Many cases are detected on biochemical screening.

Special difficulties in diagnosis may arise in certain circumstances:

  • Children with hypothyroidism may not show classic features but often have a slow growth velocity, poor school performance and sometimes arrest of pubertal development.
  • Young women with hypothyroidism may not show obvious signs. Hypothyroidism should be excluded in all patients with oligomenorrhoea/amenorrhoea, menorrhagia, infertility or hyperprolactinaemia.
  • The elderly show many clinical features that are difficult to differentiate from normal ageing.

Hypothyroidism


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