Hypothyroidism - Symptom
Myxedema; Adult hypothyroidism
Late symptoms, if left untreated:
Signs and tests:
A physical examination may reveal a smaller than normal thyroid gland, although sometimes the gland is normal size or even enlarged (goiter). The examination may also reveal:
- Brittle nails
- Coarse facial features
- Pale or dry skin, which may be cool to the touch
- Swelling of the arms and legs
- Thin and brittle hair
A chest x-ray may show an enlarged heart.
Laboratory tests to determine thyroid function include:
Lab tests may also reveal:
- Reviewed last on: 4/19/2010
- Ari S. Eckman, MD, Division of Endocrinology and Metabolism, Johns Hopkins School of Medicine, Baltimore, MD. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
Fatourechi V. Subclinical hypothyroidism: an update for primary care physicians. Mayo Clin Proc. 2009;84(1):65-71.
Ladenson P, Kim M. Thyroid. In: Goldman L and Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders; 2007:chap 244.
Vaidya B, Pearce SH. Management of hypothyroidism in adults. BMJ. 2008;337.
Allahabadia A, Razvi S, Abraham P, Franklyn J. Diagnosis and treatment of primary hypothyroidism. BMJ. 2009 Mar 26;338.
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