title: Apathetic thyrotoxicosis presenting with diabetes mellitus.
abstract: Apathetic form of thyrotoxicosis occurs in the elderly who can present with features of hyperglycemia, hypothyroidism, depression, or an internal malignancy. A clinical suspicion and timely diagnosis of hyperthyroidism is needed to define the correct etiology of existing problems, and to prevent grave complications. We discuss an 84-year-old woman who presented with fatigue and uncontrolled diabetes due to apathetic thyrotoxicosis.
authors.affiliation: Department of Medicine, Institute of Medicine, Kathmandu, Nepal; poudelresham@gmail.com.
authors.forename: Resham R
authors.initials: RR
authors.lastname: Poudel
authors.affiliation: Department of Medicine, Institute of Medicine, Kathmandu, Nepal.
authors.forename: Bipin
authors.initials: B
authors.lastname: Belbase
authors.affiliation: Department of Medicine, Institute of Medicine, Kathmandu, Nepal.
authors.forename: Bishal
authors.initials: B
authors.lastname: Belbase
authors.affiliation: Department of Public Health, Institute of Medicine, Kathmandu, Nepal.
authors.forename: Nisha K
authors.initials: NK
authors.lastname: Kafle
keywords: apathetic; diabetes; elderly; hyperglycemia; thyrotoxicosis