title: Hyperthyroidism as a cause of persistent vomiting.
abstract: A 32-year-old woman presented with persistent vomiting, epigastric pain and weight loss. A sinus tachycardia was the clue to the diagnosis of hyperthyroidism due to Graves' disease. On treatment with propylthiouracil and a beta-blocking agent, her symptoms resolved within one day, even though her free thyroxine level was still high. Hyperthyroidism is an uncommon, but previously reported cause of persistent vomiting.
authors.affiliation: Department of Endocrinology (531), University Medical Centre St Radboud, PO Box 9101, 6500 HB Nijmegen, The Netherlands. e.hoogendoorn@endo.umcn.nl
authors.forename: E H
authors.initials: EH
authors.lastname: Hoogendoorn
authors.forename: B M
authors.initials: BM
authors.lastname: Cools
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000328:Adult; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006980:Hyperthyroidism / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D008790:Metoprolol / Q000627:therapeutic use; D011441:Propylthiouracil / Q000627:therapeutic use; D013971:Thyrotoxicosis / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D014839:Vomiting / Q000209:etiology*; D015431:Weight Loss
chemical_list: D000319:Adrenergic beta-Antagonists; D011441:Propylthiouracil; D008790:Metoprolol