Recurrent severe vomiting due to hyperthyroidism
Open Access
- 1 March 2010
- journal article
- case report
- Published by Zhejiang University Press in Journal of Zhejiang University-SCIENCE B
- Vol. 11 (3), 218-220
- https://doi.org/10.1631/jzus.B0900371
Abstract
Thyrotoxicosis may present in many ways; severe vomiting as a prominent symptom of thyrotoxicosis is uncommon. In this paper, we report a 24-year-old Chinese male with hyperthyroidism who presented with recurrent severe vomiting. The patient had had intermittent vomiting for seven years and had lost approximately 15 kg of weight. Gastroscopic examinations revealed chronic gastritis and one occasion peptic ulcer. He was treated with antacid and proton pump inhibitors, but his symptoms had no relief. His presenting symptoms suggested hyperthyroidism and were confirmed by laboratory data. After a month of propylthiouracil therapy, his symptoms were relieved. It should be noted that hyperthyroidism patients can have unexplained vomiting, and that hyperthyroidism may coexist with peptic ulcer in rare cases. Awareness of such atypical presentations of hyperthyroidism may help to make a correct diagnosis.Keywords
This publication has 7 references indexed in Scilit:
- Old Man Presented with Thyrotoxic VomitingJournal of Medical Sciences, 2007
- Gastric emptying in subclinical hyperthyroidism.2003
- Severely sustained vomiting as the main symptom in a man with thyrotoxicosis.2003
- The Influence of Hyperthyroidism and Hypothyroidism on α and β-Adrenergic Receptor Systems and Adrenergic Responsiveness*Endocrine Reviews, 1983
- Gastric secretion in hyperthyroidismSurgery Today, 1982
- Thyrotoxic vomiting.BMJ, 1976
- The simultaneous occurrence of active peptic ulcer and active hyperthyroidism.1951