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William Green, MD (Discussant); Stanford Wessler, MD; Louis V. Avioli, MD (Editors)

JAMA. 1970;213(10):1652-1655.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

DR. STEVEN LEVINSON, Junior Assistant Resident in Medicine, the Jewish Hospital of St. Louis, and Assistant in Medicine, Washington University School of Medicine: A 17-year-old white girl was admitted to Jewish Hospital because of a fourmonth history of increasing irritability and a 5.4 kg ( 12 lb) weight loss. The patient also complained of a three- to four-week history of progressive dyspnea on exertion, generalized muscular weakness, polyphagia, polyuria, polydipsia, and nocturia. She had had a normal menarche at 14 years of age, but also had missed two of her anticipated menstrual periods in the five months prior to her hospitalization. She denied any family history of diabetes, goiter, or thyroid disease.

Physical examination revealed the patient was thin and had bilateral proptosis and excessive perspiration. The blood pressure was 150/90 mm Hg; the resting pulse rate was 140 beats per minute and regular; the respiratory rate was 12 breaths per . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Medicine, Jewish Hospital of St Louis, and Washington University School of Medicine, St. Louis.

Footnotes
Reprint requests to 216 S Kingshighway, St. Louis 63110 (Dr. Wessler).

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