30 minutes - Individual, or Institutional

Two patients are demonstrated in this film, showing the extremes of hormonal upset due to autoimmune thyroid disease. The first patient has classical gross myxoedema at a stage that should not be seen nowadays; the transformation after four months on thyroxine is dramatic. The second man has Graves' disease, but had been labelled a respiratory cripple because of silicosis, and this contributed to the missed diagnosis. He too has classical physical signs, including atrial fibrillation (at the outset) and a loud thyroid bruit. The treatment of both disorders is discussed. 2006

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