Dysphagia as the First Symptom of Hyperthyroidism without Goiter: A Case Report
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Hyperthyroidism is a rare cause of dysphagia. We report a case of dysphagia as the first symptom of hyperthyroidismin a patient who improved with antithyroid agents and swallowing rehabilitation. An 81-year-old manwas diagnosed with Graves’ disease after being hospitalized for recurrent aspiration symptoms that included coughand sputum for two months. The patient was given methimazole, propranolol, and Lugol solution as well as conventionalswallowing rehabilitation for 60 minutes a day. Two weeks after initiation of treatment, the patient’s thyroidfunction tests saw improvement. He showed significant improvement in dysphagia after 3 weeks of treatment. Persisting improvement in swallowing was also found at 6 months post-treatment. Dysphagia may be the first symptomof hyperthyroidism in elderly patients, and physicians should consider performing thyroid function tests forevaluating such patients.
Abstract
Hyperthyroidism is a rare cause of dysphagia. We report a case of dysphagia as the first symptom of hyperthyroidismin a patient who improved with antithyroid agents and swallowing rehabilitation. An 81-year-old manwas diagnosed with Graves’ disease after being hospitalized for recurrent aspiration symptoms that included coughand sputum for two months. The patient was given methimazole, propranolol, and Lugol solution as well as conventionalswallowing rehabilitation for 60 minutes a day. Two weeks after initiation of treatment, the patient’s thyroidfunction tests saw improvement. He showed significant improvement in dysphagia after 3 weeks of treatment. Persisting improvement in swallowing was also found at 6 months post-treatment. Dysphagia may be the first symptomof hyperthyroidism in elderly patients, and physicians should consider performing thyroid function tests forevaluating such patients.
참고문헌 (15)
- Sura L, "Dysphagia in the elderly : management and nutritional considerations", Clin Interv Aging, 7, pp.287~298 (2012)
- Aslam M, "Dysphagia in the Elderly", Gastroenterology & Hepatology, 9, pp.784~795 (2013)
- Ming-Tsung Chen, "Massive thyroid goiter: an unusual cause of aspiration pneumonia", The Korean Journal of Internal Medicine, 31(6), pp.1196~1197 (2016), 대한내과학회[DOI]
- Garzon R, "Acute bulbar muscle dysfunction in hyperthyroidism", Conn Med, 66, pp.3~6 (2002)
- Kammer GM, "Acute bulbar muscle dysfunction and hyperthyroidism. A study of four cases and review of the literature", Am J Med, 56, pp.464~470 (1974)
- Lleó A, "Acute bulbar weakness: Thyrotoxicosis or myasthenia gravis?", Annals of Neurology, 46, pp.434~435 (1999)
- Marks P, "Thyrotoxic myopathy presenting as dysphagia", Postgraduate Medical Journal, 56, pp.669~670 (1980)
- Dae Ha Kim, "Inter-rater Reliability of Videofluoroscopic Dysphagia Scale", Annals of Rehabilitation Medicine, 36(6), pp.791~796 (2012), 대한재활의학회
- Rosenbek JC, "A penetration-aspiration scale", Dysphagia, 11, pp.93~98 (1996)
- 박종범, "근거중심으로 살펴본 연하장애와 신경근전기자극치료", 대한연하장애학회지, 6(1), pp.15~19 (2016), 대한연하장애학회[DOI]
- Branski D, "Dysphagia as a primary manifestation of hyperthyroidism", J Clin Gastroenterol, 6, pp.437~440 (1984)
- Chiu WY, "Dysphagia as a manifestation of thyrotoxicosis : report of three cases and literature review", Dysphagia, 19, pp.120~124 (2004)
- Duyff RF, "Neuromuscular findings in thyroid dysfunction : a prospective clinical and electrodiagnostic study", J Neurol Neurosurg Psychiatry, 68, pp.750~755 (2000)
- Guldiken B, "Dysphagia as a primary manifestation of hyperthyroidism : a case report", Acta Clin Belg, 61, pp.35~37 (2006)
- Trivalle C, "Differences in the signs and symptoms of hyperthyroidism in older and younger patients", J Am Geriatr Soc, 44, pp.50~53 (1996)