Hypothyroidism commonly manifests as a slowing in physical and mental activity but may be asymptomatic. Symptoms and signs of this disease are often subtle and neither sensitive nor specific. Classic signs and symptoms (eg, cold intolerance, puffiness, decreased sweating, and coarse skin) may not be present as commonly as was once believed.
The following are symptoms of hypothyroidism:
Fatigue, loss of energy, lethargy
Muscle pain, joint pain, weakness in the extremities
Emotional lability, mental impairment
Forgetfulness, impaired memory, inability to concentrate
Menstrual disturbances, impaired fertility
Paresthesias, nerve entrapment syndromes
Fullness in the throat, hoarseness
Physical signs of hypothyroidism include:
Slowed speech and movements
Dry skin (rarely yellow hued from carotene)
Coarse, brittle, straw-like hair
Loss of scalp hair, axillary hair, pubic hair, or a combination
Dull facial expression
Coarse facial features
Goiter (simple or nodular)
Decreased systolic blood pressure and increased diastolic blood pressure
Abdominal distention, ascites (uncommon)
Hypothermia (only in severe hypothyroid states)
Nonpitting edema (myxedema)
Pitting edema of lower extremities
Hyporeflexia with delayed relaxation, ataxia, or both
Learn more about clinical presentations of hypothyroidism.
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Cite this: Romesh Khardori. Fast Five Quiz: Hypothyroidism Practice Essentials - Medscape - Apr 11, 2022.