typical presentations of thyrotoxicosis

Last reviewed 01/2018

  • increased heat production - warm, moist skin, heat intolerance

  • telangiectasia, palmar erythema, pretibial myxoedema, onycholysis

  • weight loss, increased appetite, increased frequency of bowel movement but frank diarrhoea is uncommon; steatorrhoea may occur; dyspepsia; like juvenile-onset diabetes mellitus, may cause a decrease in weight despite an increased appetite

  • oligomenorrhoea

  • tachycardia, exertional dyspnoea, hyperdynamic circulation; systolic hypertension is common and diastolic hypertension can occur in up to 30% of patients

  • tiredness, irritability, nervousness

  • fine tremor, hyperkinesia

  • there are eye signs in Graves' disease


  • occasionally, bone pain due to osteoporosis
  • in elderly patients, there may be atrial fibrillation or cardiac failure
  • alopecia, pruritus, pretibial myxoedema, acropachy