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CHICAGO DERMATOLOGICAL SOCIETY
Samuel W. Becker, Jr., MD;
John B. Haeberlin, Jr., MD
Arch Dermatol. 1967;95(4):433-442.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Hyperthyroidism, Exophthalmos, Pretibial Myxedema, and Early Clubbing. Presented by SAMUEL M. BLUEFARB, MD, and LAWRENCE A. ADAMS, MD.
A 58-year-old Negro man was essentially well until November 1962, when he developed an acute glomerulonephritis following a streptococcal pharyngitis. During a subsequent hospitalization, a diffusely enlarged thyroid and slight prominence of the eyes were noted. The T3 uptake was 52.6% and the protein-bound iodine (PBI) 9.8µg /100 cc.
In September 1965, he was admitted to the Veterans Administration Research Hospital with a two-month history of progressive nervousness, weakness and swelling of his feet. Positive physical findings at that time included a diffuse goiter, 4+ pitting ankle edema, and very prominent exophthalmos. Laboratory data revealed131I uptake, 100% in 24 hours; T3 uptake, 46.7%; PBI, 11.5µg/100 cc; thyroid scan, enlargement of the right lobe; and basal metabolic rate (BMR), +17%. There was also clinical and laboratory evidence of a nephrotic
. . . [Full Text PDF of this Article]
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