LAURA HARE, M.D.; JAMES O. RITCHEY, M.D., F.A.C.P.
The problem of differential diagnosis, treatment, and prognosis of the various manifestations of thyroid disease remains a puzzling one in spite of intensive study directed toward its solution. Enumeration of but a few of the many conditions which may be simulated follows. First, the classic Graves' disease must be distinguished from the ophthalmopathic type of Means.9 In this latter condition an extreme degree of exophthalmos is the outstanding symptom, set in a background of relatively mild toxicity, and treatment in the form of thyroidectomy tends to increase rather than to correct the deformity. Second, an intrathoracic goiter may be confused
HARE L, RITCHEY JO. APATHETICAL RESPONSE TO HYPERTHYROIDISM; REPORT OF TWO CASES1. Ann Intern Med. ;24:634–637. doi: 10.7326/0003-4819-24-4-634
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Published: Ann Intern Med. 1946;24(4):634-637.
Endocrine and Metabolism, Thyroid Disorders.
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