What is it about?
A 54 year old woman presented with nausea and vomit, unintentional weight loss, constipation, low blood pressure, hypercalcaemia, a long history of smoking. Several different diseases can induce these clinical signs and symptoms but ... what is the correct diagnosis in this case?
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Why is it important?
To make a correct diagnosis is crucial, however sometimes it can be challenging: different diseases can have very similar clinical presentations.
Perspectives
This woman was affected with severe hyperthyroidism (excessive production of thyroid hormones) due to Graves' disease (an autoimmune disease inducing a persistent over-function of the thyroid gland). This was an unusual clinical presentation, however we have been able to make the correct diagnosis and successfully treat the patient
Dr Ilaria IM Muller
Cardiff University
Read the Original
This page is a summary of: Hypercalcaemia with undetectable parathormone levels, BMJ, November 2018, BMJ,
DOI: 10.1136/bmj.k4074.
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