NATHAN M. FENICHEL, M.D., F.A.C.P.
One of the most baffling conditions a physician is called upon to treat is a chronic distressing headache in which a thorough physical examination, including a survey of the eyes, nose, and central nervous system, is essentially negative. Many of these patients are noticeably nervous and apprehensive yet assurance and sedation do not produce amelioration.
In the past few years I have collected a group of 20 patients with distressing headaches in which the basal metabolism was found to be below normal (table 1). With the administration of thyroid extract these patients obtained gratifying relief. In many the headaches had
FENICHEL NM. CHRONIC HEADACHE DUE TO MASKED HYPOTHYROIDISM1. Ann Intern Med. ;29:456–460. doi: 10.7326/0003-4819-29-3-456
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Published: Ann Intern Med. 1948;29(3):456-460.
Endocrine and Metabolism, Headache, Neurology, Thyroid Disorders.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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