Contributed by Jiangzhou Wang, MD, PhD. and Mohamed A. Virji, MD, PhD.
Published on line in January 1998
A 36-year-old white female was admitted for 131I therapy for recurrent thyroid follicular carcinoma. The patient has recently reported that she has swelling of her palms and fingers, her palms feel continuously sweaty, and she has cold feet.
PAST MEDICAL HISTORY
Patient's father died at 73 with coronary artery disease. Her mother died at age of 62 with an aneurysm, she appeared cushingnoid and had nevi of her lips and eyelids. Her two brothers died of "heart disease"; one of them had a pituitary tumor. The patient has a sister who is alive and has had problems with cardiac arrythmias. The patient has two children. Her son has nevi and a testicular seminoma which was removed , and has had a small thyroid nodule detected recently. Her daughter has hirsutism, and the results of her ACTH stimulation test are consistent with congenital adrenal hyperplasia.
The patient has smoked one pack of cigarettes per day for approximately 20 years.
PHYSICAL EXAMINATION & LABORATORY DATA