title: Protracted epigastric pain and vomiting as a presentation of thyrotoxicosis.
abstract: Apathetic thyrotoxicosis is frequently difficult to recognize and can imitate a variety of diseases. A patient with a severe thyrotoxic state is reported, who presented with protracted epigastric pain and vomiting. Hyperthyroidism should be considered in patients with such prolonged and unexplained symptoms.
mesh_terms: D000005:Abdomen; D005260:Female; D006801:Humans; D006980:Hyperthyroidism / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008875:Middle Aged; D010146:Pain / Q000209:etiology*; D014839:Vomiting / Q000209:etiology*