MAURICE BRUGER, M.D., F.A.C.P.; VINCENT P. HOLLANDER, M.D., Ph.D.
This content is PDF only. Please click on the PDF icon to access.
The problem presented by patients with elevated basal metabolic rates in whom careful study precludes a diagnosis of hyperthyroidism is exceedingly complex. Since the basal metabolism as measured is the sum of the rates of oxygen consumption of all the cells of the body (which number about 40 quintillion), and these in turn are controlled by physical, humoral, endocrine, pharmacologic and vegetative as well as central neural factors, the complexity is expected and understandable. Table 1 illustrates the many clinical, physiologic and physical factors the clinician must keep in mind when confronted with this problem.
BRUGER M, HOLLANDER VP. EXTRATHYROIDAL HYPERMETABOLISM: CLASSIFICATION AND DISCUSSION INCLUDING THREE ILLUSTRATIVE CASE REPORTS1. Ann Intern Med. 1951;35:1260–1275. doi: 10.7326/0003-4819-35-6-1260
Download citation file:
Published: Ann Intern Med. 1951;35(6):1260-1275.
Education and Training.
Results provided by:
Copyright © 2019 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use