중증 폐색전증이 동반된 고령 그레이브스병 환자 증례
A Case of an Elderly Graves’ Patient with Fatal Pulmonary Embolism
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In elderly Graves’ patients, thyrotoxicosis may have vague or atypical clinical features. It could delay the detectionof Graves’ disease itself, and also other combined diseases. Here, we report a case of a 73-year-old Graves’ patientwho complained of several atypical symptoms such as chest discomfort, pain in the lower calf, severe agitation,depression, sense of impending doom, myalgia etc. Despite these discomforts, they had previously been ignoredas vague clinical features of Graves’ disease. After 4 months with hemoptysis, serious pulmonary embolism wasconfirmed by computed tomography of the chest, and the patient suddenly died. Clinicians should rememberthat the atypical symptoms in elderly Graves’ patients can suggest hidden comorbidities. This is especially criticalin case of acute cardiovascular diseases such as pulmonary embolism, which can be fatal to elderly patients.
Abstract
In elderly Graves’ patients, thyrotoxicosis may have vague or atypical clinical features. It could delay the detectionof Graves’ disease itself, and also other combined diseases. Here, we report a case of a 73-year-old Graves’ patientwho complained of several atypical symptoms such as chest discomfort, pain in the lower calf, severe agitation,depression, sense of impending doom, myalgia etc. Despite these discomforts, they had previously been ignoredas vague clinical features of Graves’ disease. After 4 months with hemoptysis, serious pulmonary embolism wasconfirmed by computed tomography of the chest, and the patient suddenly died. Clinicians should rememberthat the atypical symptoms in elderly Graves’ patients can suggest hidden comorbidities. This is especially criticalin case of acute cardiovascular diseases such as pulmonary embolism, which can be fatal to elderly patients.
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