Nausea & vomiting as major symptoms of thyrotoxicosis: a cas
The present case series has been published in the Journal of Endocrinology and Metabolism.

It is well recognized that hyperthyroidism may present in various guises with typical thyrotoxic symptoms lacking in prominence, and sometimes almost totally absent, particularly in the elderly.

Nausea and vomiting are poorly recognized and often are forgotten manifestations of hyperthyroidism. As major presenting symptoms of thyrotoxicosis, these manifestations have been rarely reported, and have not been included as presenting symptoms for thyrotoxicosis in standard textbooks of medicine and endocrinology.

The authors report cases of three patients with nausea and vomiting as major presenting symptoms of thyrotoxicosis, where two of them were extensively investigated and thyrotoxicosis was not suspected until late in the disease.

In reporting these patients the authors aim at drawing attention to these forgotten symptoms of thyrotoxicosis, and particularly to emphasize that, at times nausea and vomiting may be the only presenting features of thyrotoxicosis, leading to considerable difficulty in diagnosis. Moreover, these case reports give further support to the contention that thyroid studies should be carried out in border indications than conventionally accepted.

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