title: Clinical presentation of hypothyroidism.
abstract: OBJECTIVE
  This study was to review the common and unusual symptoms of hypothyroidism.
  
  
  METHODS
  A retrospective study was done of forty thousand patients attending Sultan Qaboos University Health Center (SQU), within a period of three years. Sixty-three patients proved to have either clinical or subclinical hypothyroidism and were screened for the different symptoms & signs of hypothyroidism.
  
  
  RESULTS
  The well-known symptoms and signs of hypothyroidism reported in the medical textbooks were uncommon in this study. Symptoms such as dysarthria and dysphagia not usually mentioned in the medical textbooks were reported.
  
  
  CONCLUSIONS
  Early diagnosis by screening both middle-aged as well as older patients is advantageous.
authors.affiliation: Family and Community Medicine Department, College of Medicine, Sultan Qaboos University, Al-Khoud, Sultanate of Oman.
authors.forename: Kawther T
authors.initials: KT
authors.lastname: El-Shafie