The many 'faces' of Graves' disease. Part 1. Eyes, pulse, skin, and neck provide important clues to diagnosis.
The variety in clinical appearance of patients with Graves' disease suggests that predominant symptoms affecting one body system may be either compelling or misleading to clinicians during the initial assessment. However, each patient in these case presentations had additional bedside evidence of many of the recognized multisystem manifestations of hyperthyroidism, as detected on more extensive evaluation. Laboratory tests confirmed the diagnosis in each instance. While these cases are not meant to represent all reported manifestations of Graves' disease, grouping of symptoms into memorable "faces" is helpful for definitive clinical recognition and precise diagnosis of this complex and challenging syndrome.
Felz
M W
MW
Department of Family Medicine, Medical College of Georgia School of Medicine, Augusta 30912, USA. mfelz@mail.mcg.edu
Stein
P P
PP
D000328:Adult; D000368:Aged; D005094:Exophthalmos / Q000209:etiology; D019066:Facies; D005260:Female; D006111:Graves Disease / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged