INTERMITTENT CLAUDICATION RELIEVED BY THYROIDECTOMY; A CASE REPORT
Authors: Joseph C. Doane, Albert Adlin
Journal: Annals of Internal Medicine (1944)

Case Reports1 March 1944INTERMITTENT CLAUDICATION RELIEVED BY THYROIDECTOMY; A CASE REPORTJOSEPH C. DOANE, M.D., F.A.C.P., ALBERT ADLIN, M.D.JOSEPH C. DOANE, M.D., F.A.C.P.Search for more papers by this author, ALBERT ADLIN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-20-3-534 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAn analogy has been frequently drawn between angina pectoris and intermittent claudication. Indeed much evidence has been brought forth to show that the pain is produced by a similar mechanism which in the former affects the blood supply of the heart, in the latter that of the extremities.1, 2, 3Wholey,4 in a case report, states: "As an example of a mechanism similar to that of intermittent claudication, we can mention the attacks of angina pectoris with its diseased coronary arteries."Heitz5 reported 12 cases of intermittent claudication coexisting with angina pectoris.Stroud and Shumway6sum up this relationship very...Bibliography1. PICKERINGWAYNE GWEJ: Observations on angina pectoris and intermittent claudication in anemia, Clin. Sci., 1934, i, 305-325. Google Scholar2. WAYNELAPLACE EJLB: Observations on angina of effort, Clin. Sci., 1933-1934, i, 103-129. Google Scholar3. LEWISPICKERINGROTHSCHILD SGWP: Observations upon muscular pain in intermittent claudication, Heart, 1929-1931, xv, 359-383. Google Scholar4. WHOLEY CC: A case study of intermittent claudication, Jr. Am. Med. Assoc., 1922, lxxviii, 1529-1530. Google Scholar5. HEITZ J: Intermittent claudication and angina pectoris, Arch. d. mal. du coeur, 1924, xvii, 673-708. Google Scholar6. STROUDSHUMWAY WDNP: Intermittent claudication as an early symptom of cardiovascular disease, Pennsylvania Med. Jr., 1938, xli, 894-896. Google Scholar7. PERLA D: Analysis of 41 cases of thromboangiitis obliterans with report of case involving coronary arteries and aorta, Surg., Gynec., and Obst., 1925, xli, 21-30. Google Scholar8. ALLENWILLIUS EVFA: Disease of the coronary arteries associated with thromboangiitis obliterans of the extremities, ANN. INT. MED., 1929, iii, 35-39. Google Scholar9. VAN DOOREN F: Buerger's disease with involvement of the coronary arteries, Bruxelles-méd., 1934, xv, 104-114. Google Scholar10. SAPHIR O: Thromboangiitis obliterans of the coronary arteries and its relation to arteriosclerosis, Am. Heart Jr., 1936, xii, 521-535. CrossrefGoogle Scholar11. EPPINGER EC: Thromboangiitis obliterans, a case with extensive distribution of the vascular lesions including the coronary arteries, Medical Papers, Christian Birthday Volume, 1936, Waverly Press, Inc., Baltimore, Md., pp. 157-169. Google Scholar12. MALLORY TB: Acute thromboangiitis obliterans of the coronary artery, Medical Papers, Christian Birthday Volume, 1936, Waverly Press, Inc., Baltimore, Md., pp. 147-156. Google Scholar13. SCLAR M: Coronary thrombosis; relationship to thromboangiitis obliterans, New York State Jr. Med., 1937, xxxvii, 1638-1642. Google Scholar14. FRIEDMANBLUMGART HFHL: Treatment of chronic heart disease by lowering the metabolic rate, Jr. Am. Med. Assoc., 1934, cii, 17-21. CrossrefGoogle Scholar15. PFAHLERVASTINE GEJH: Results of roentgen therapy in goiter, based on observation in 400 cases, Am. Jr. Roentgenol., 1930, xxiv, 395-411. Google Scholar16. MEANSHOLMES JHGW: Further observations on the roentgen ray treatment of toxic goiter, Arch. Int. Med., 1923, xxxi, 303-341. CrossrefGoogle Scholar17. JENKINSON EL: Thyroid disease, Radiology, 1925, iv, 453-457. CrossrefGoogle Scholar18. GROOVERCHRISTIEMERRITTCOEMCPEAK TAACEAFOEM: Roentgen irradiation in treatment of hyperthyroidism, Jr. Am. Med. Assoc., 1929, xcii, 1730-1734. CrossrefGoogle Scholar19. HIRSCHFELDER AD: Diseases of the heart and aorta, 1913, J. B. Lippincott Co., Philadelphia, p. 391. Google Scholar20. MACKENZIE J: Angina pectoris, 1923, Oxford Medical Publications, New York City, p. 101. Google Scholar21. STURGIS CC: Angina pectoris as a complication in myxedema and exophthalmic goiter, Boston Med. and Surg. Jr., 1926, cxcv, 351-354. CrossrefGoogle Scholar22. LEVHAMBURGER MWWW: The association of angina pectoris and hyperthyroidism, Am. Heart Jr., 1928, iii, 672-681. CrossrefGoogle Scholar23. LEVHAMBURGER MWWW: Studies in thyroid heart disease, Am. Heart Jr., 1932, viii, 109-113. CrossrefGoogle Scholar24. LEVINEWALKER SAGL: Further observations on latent hyperthyroidism masked as heart disease: angina pectoris, New England Jr. Med., 1929, cci, 1021-1030. CrossrefGoogle Scholar25. ROSENBLUMLEVINE HHSA: What happens eventually to patients with hyperthyroidism and significant heart disease following subtotal thyroidectomy? Am. Jr. Med. Sci., 1933, clxxxv, 219-233. CrossrefGoogle Scholar26. BLUMGARTLEVINEBERLIN HLSADD: Congestive failure and angina pectoris: therapeutic effect of thyroidectomy on patients without clinical or pathological evidence of thyroid toxicity, Arch. Int. Med., 1933, li, 866-877. CrossrefGoogle Scholar27. BERLIN DD: Therapeutic effect of complete thyroidectomy on congestive heart failure and angina pectoris in patients with no clinical or pathologic evidence of thyroid toxicity, Am. Jr. Surg., 1933, xxi, 173-179. CrossrefGoogle Scholar28. BLUMGARTRISEMANDAVISBERLIN HLJEDDD: Therapeutic effect of total ablation of normal thyroid gland on congestive heart failure and angina pectoris, Arch. Int. Med., 1933, lii, 165-225. CrossrefGoogle Scholar29. LEVINECUTLEREPPINGER SAECEC: Thyroidectomy in the treatment of advanced congestive heart failure and angina pectoris, New England Jr. Med., 1933, ccix, 667-679. CrossrefGoogle Scholar30. WEINSTEINDAVISBERLINBLUMGART AADDDHL: Mechanism of early relief of pain in patients with angina pectoris and congestive failure after total ablation of normal thyroid gland, Am. Jr. Med. Sci., 1934, clxxxvii, 753-773. CrossrefGoogle Scholar31. KENNEDY WR: Treatment of congestive heart failure and angina pectoris by the complete removal of the normal thyroid gland, Canad. Med. Assoc. Jr., 1934, xxx, 610-614. Google Scholar32. ALTSCHULEVOLK MDMC: Therapeutic effect of total ablation of normal thyroid on congestive failure and angina pectoris, Arch. Int. Med., 1936, lviii, 32-44. CrossrefGoogle Scholar33. BLUMGARTGARGILLGILLIGAN HLSLDR: Studies on the velocity of the blood flow: xiv. The circulation in myxedema with a comparison of the blood flow in myxedema and thyrotoxicosis, Jr. Clin. Invest., 1930, ix, 91-106. CrossrefGoogle Scholar34. KVALEALLEN WFEV: Rate of circulation in the arteries and veins of man, Am. Heart Jr., 1939, xviii, 519-536. CrossrefGoogle Scholar35. EPPINGERLEVINE ECSA: Effect of total thyroidectomy on response to adrenalin, Proc. Soc. Exper. Biol. and Med., 1934, xxxi, 485-487. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Philadelphia, Pennsylvania*Received for publication May 29, 1942.From the Medical Department of the Jewish Hospital, Philadelphia. 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