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- Title
Thyrotoxic Dysphagia in an 82-Year-Old Male.
- Authors
Parperis, Konstantinos; Dadu, Ramona; Hoq, Sheikh; Argento, Vivian
- Abstract
Dysphagia is a common problem in elderly patients and a rare manifestation of Graves' disease. We report a case of an 82-yearold 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.
- Subjects
GRAVES' disease; DISEASES in older people; HYPERTHYROIDISM; ELECTROMYOGRAPHY
- Publication
Case Reports in Medicine, 2011, p1
- ISSN
1687-9627
- Publication type
Case Study
- DOI
10.1155/2011/929523