title: [Oedema and haemorrhagic diathesis in a 50-year-old woman with thyrotoxicosis].
abstract: We describe the case of a 50-year-old woman who presented with tachyarrhythmia, mild fever, peripheral oedema, ascites, epistaxis and gastrointestinal haemorrhage. Blood analysis revealed hyperthyroxinaemia. Analysis of thyroid-stimulating antibodies highlighted Graves' disease being the cause of the prevailing thyrotoxic crisis. Remarkable in this case of thyrotoxicosis is a liver affection without elevated transaminases but disturbed serum protein synthesis leading to hypalbuminaemic oedema and haemorrhagic complications. Thyrostatic treatment led to clinical response.
authors: Abteilung für Innere Medizin, St. Josef-Hospital Troisdorf, Hospitalstr. 45, 53840, Troisdorf, Deutschland, anton.kozlov@josef-hospital.de.
authors: A
authors: A
authors: Kozlov
authors: R
authors: R
authors: Joeres
authors: U
authors: U
authors: Braun
mesh_terms: D003937:Diagnosis, Differential; D004487:Edema / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006474:Hemorrhagic Disorders / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D017093:Liver Failure / Q000175:diagnosis* / Q000209:etiology* / Q000517:prevention & control; D008875:Middle Aged; D013971:Thyrotoxicosis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome