The most common presentations are
Hyperthyroidism
Hypothyroidism
enlargement of the thyroid (goitre or thyroid nodule).
Wide spread availability of thyroid function tests has led to the increasingly frequent identification of patients with abnormal results who are either asymptomatic or have non-specific complaints such as tiredness and weight gain.
Hyperthyrodism
Thyrotoxicosis describes a constellation of clinical features arising from elevated circulating levels of thyroid hormone. The most common causes are Graves’ disease, multinodular goitre and autonomously functioning thyroid nodules
Symptoms
- Weight loss despite normal or increased appetite.
- Heat intolerance
- Sweating Palpitations
- Tremor
- Dyspnoea
- Fatigue
- Irritability
- Emotional liability
Signs
- Weight loss
- Tremor
- Palmar erythema
Hypothyroidism
Hypothyroidism is a common condition with various causes , but autoimmune disease (Hashimoto’s thyroiditis) and thyroid failure or surgical treatment of thyrotoxicosis account for over 90% of cases, except in areas where iodine deficiency is endemic.
Women are affected approximately six times more frequently than men
Symptoms
- Weight gain
- Cold intolerance
- Fatigue, somnolence
- Dry skin
- Dry hair
- Menorrhagia
Sign
- Weight gain
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