Thyrotoxicosis: A Lesson From the Slaughterhouse
Authors: Thomas Pusl, Hendrik Jaehnig, Robert Dorn
Journal: Annals of Internal Medicine (2011)

Letters1 November 2011Thyrotoxicosis: A Lesson From the SlaughterhouseThomas Pusl, MD, Hendrik Jaehnig, MD, and Robert Dorn, MDThomas Pusl, MDFrom Klinikum Augsburg, 86156 Augsburg, Germany.Search for more papers by this author, Hendrik Jaehnig, MDFrom Klinikum Augsburg, 86156 Augsburg, Germany.Search for more papers by this author, and Robert Dorn, MDFrom Klinikum Augsburg, 86156 Augsburg, Germany.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-155-9-201111010-00020 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: Most clinicians consider exogenous hyperthyroidism when searching for hyperthyroidism, but few of them consider the possibility of inadvertent exogenous hyperthyroidism.Case Report: In December 2010, a primary care physician referred to our department a 38-year-old man who was taking the antithyroid drug carbimazole and had a 3-week history of excessive sweating, nervousness, palpitations, weight loss, and sleep disturbance. We admitted him to the hospital. Initial thyroid function tests showed a suppressed thyroid-stimulating hormone (TSH) level less than 0.05 mU/L (normal, 0.4 to 3 mU/L), increased free thyroxine level greater than 100 pmol/L (7.77 ng/dL) (normal, 9.8 to 23 pmol/L ...References1. Cohen JH, Ingbar SH, Braverman LE. Thyrotoxicosis due to ingestion of excess thyroid hormone. Endocr Rev. 1989;10:113-24. [PMID: 2666114] CrossrefMedlineGoogle Scholar2. Mittra ES, Niederkohr RD, Rodriguez C, El-Maghraby T, McDougall IR. Uncommon causes of thyrotoxicosis. J Nucl Med. 2008;49:265-78. [PMID: 18199610] CrossrefMedlineGoogle Scholar3. Feit S, Feit H. Thyrotoxicosis factitia veterinarius [Letter]. Ann Intern Med. 1997;127:168. [PMID: 9230020] LinkGoogle Scholar4. Hedberg CW, Fishbein DB, Janssen RS, Meyers B, McMillen JM, MacDonald KL, et al. An outbreak of thyrotoxicosis caused by the consumption of bovine thyroid gland in ground beef. N Engl J Med. 1987;316:993-8. [PMID: 3561455] CrossrefMedlineGoogle Scholar5. Meurisse M, Preudhomme L, Lamberty G, Meurisse N, Bataille Y, Defechereux T, et al. Iatrogenic thyrotoxicosis. Causal circumstances, pathophysiology and principles of treatment. Review of the literature. Acta Chir Belg. 2001;101:257-66. [PMID: 11868500] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Klinikum Augsburg, 86156 Augsburg, Germany.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoThyrotoxicosis Factitia Veterinarius Sheila Feit and Helen Feit A Lesson From the Slaughterhouse Victor S. Sloan Metrics Cited byA Lesson From the SlaughterhouseVictor S. Sloan, MD 1 November 2011Volume 155, Issue 9Page: 646KeywordsAntibodiesAttentionCreatinineHyperthyroidismMeatThyroglobulinThyroidThyroid hormonesThyroid-stimulating hormoneWeight loss ePublished: 1 November 2011 Issue Published: 1 November 2011 Copyright & PermissionsCopyright © 2011 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...