Dursban revisited: birth defects, U.S. Environmental Protection Agency, and Centers for Disease Control |
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Authors: | JD Sherman |
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Affiliation: | Department of Medicine, James Paget Hospital, Great Yarmouth, Norfolk, UK. |
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Abstract: | A previously fit 37-year-old woman was admitted with acute left ventricular failure, atrial fibrillation and a left-sided thromboembolic stroke. Her ventricular rate progressively increased despite full digitalisation. She had a cardiac arrest and was successfully resuscitated. Investigations revealed evidence of hyperthyroidism and she was treated for thyrotoxic crisis. She has made a complete recovery from the hemiparesis and is now in sinus rhythm. She denied any symptoms of hyperthyroidism. This patient had apathetic thyroid crisis, which is exceedingly rare in the young. |
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