[Adynamia, finger paresthesias].
A 40-year-old woman was admitted for investigation of weakness and angina pectoris. She had generalised weakness of muscles, cold intolerance and a reduced physical performance. A previous neurological examination had already revealed a carpal-tunnel syndrome of the right hand. This syndrome, combined with a rough, cool skin and a periorbital edema, lead to the assumption of hypothyroidism. The diagnosis was confirmed by a combination of very high concentrations of TSH and decreased concentrations of the thyroid hormones. Replacement therapy by oral administration of L-thyroxin resulted in a gradual improvement of the patient's state.
Kraft
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Vetter
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D000328:Adult; D001247:Asthenia / Q000209:etiology*; D002349:Carpal Tunnel Syndrome / Q000150:complications*; D003327:Coronary Disease / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D005385:Fingers / Q000294:innervation; D006801:Humans; D007037:Hypothyroidism / Q000150:complications / Q000175:diagnosis*; D010292:Paresthesia / Q000209:etiology*
Adynamie, Fingerparäthesien.