[Polyarthralgia disclosing hyperthyroidism. Two case reports].
BACKGROUND
We report two cases of rheumatism associated with hyperthyroidism. In both cases, arthralgia totally regressed after thyroid treatment.


METHODS
Two 79-year-old and 59-year-old women developed manifestations of polymyalgia rheumatica and psoriasis arthritis respectively. Corticosteroid therapy was ineffective and followed by manifestations of hyperthyroidism. The first patient was treated with carbimazole and the second with thyroidectomy. Once the hyperthyroidism was controlled, both patients experienced a dramatically rapid cure of their arthralgias.


CONCLUSIONS
Scalpulo-humeral periarthritis is the main articular complication of hyperthyroidism. True manifestations of "thyrotoxicosis rheumatism" are unusual and may be linked with a direct toxicity of the thyroid hormones on joint cartilage or with an autoimmune manifestation of hyperthyroidism.
Service de Médecine interne, Hôpital d'Instruction des Armées Sainte-Anne, Toulon Naval.
S
S
Molinier
J F
JF
Paris
S
S
Marlier
M
M
Galzin
Y
Y
Amah
P
P
Carli
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000368:Aged; D013956:Antithyroid Agents / Q000627:therapeutic use; D018771:Arthralgia / Q000209:etiology*; D002231:Carbimazole / Q000627:therapeutic use; D005260:Female; D006801:Humans; D006980:Hyperthyroidism / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D008875:Middle Aged; D011565:Psoriasis / Q000209:etiology*; D012216:Rheumatic Diseases / Q000209:etiology*; D013965:Thyroidectomy
D000305:Adrenal Cortex Hormones; D013956:Antithyroid Agents; D002231:Carbimazole
Polyarthralgies révélatrices d'hyperthyroïdie. Deux observations.