Aging is associated with an anatomical and functional heterogeneity\nof the thyroid which varies according to the iodized status. The aim\nwas to describe the clinical, etiology and therapeutic profile of dysthyroidism\nin elderly subjects in the internal medicine at the Abass Ndao University\nHospital. Patients and methods: This was a retrospective, descriptive and\nanalytical study, including all subjects aged 60 and over followed from January\n1, 2010 to December 31, 2019 (10 years) for thyroid disease. Results: 371\nPatients were collected with a prevalence of 3.8%. The sex ratio was 0.15 and\nthe mean age was 65.3 years. The circumstances of discovery of the disease\nwere a grade 2 - 3 goiter (62.5%), exophthalmos (24.5%), thyrotoxicosis (56.6%),\na symptom of low metabolism (5.4%), a cervical compression (10.8% including\n8% of dysphasia), and a cardiothyreosis (9.4%). It was hyperthyroidism\n(65.2%), and hypothyroidism (7.2%). The main etiologies were toxic multinodular\ngoiter (33.2%), Gravesâ??s disease (29.6%), euthyroidism nodular goiter\n(26.8%), toxic adenoma (2.4%), and Hashimotoâ??s thyroiditis (6.7%). The\ncompressive manifestations were exclusive of nodular goiter. Among the 35\ncases of cardiothyreosis, there was a rhythm and conduction disorder in 25\ncases (6.7%) and the underlying thyreopathy was a toxic nodular goiter in\n57.1%. Thyroidectomy involved 44.7% of patients, including 32.6% of Gravesâ??\ndisease, 48.3% of toxic nodular goiter, and 61.8% of nodular goiter in euthyroidism.\nWe found 02 cases of papillary carcinomas on multinodular goiter.\nConclusion: In our hospital series, there is variability in the clinical manifestations\nof dysthyroidism in the elderly. Complications, mainly cardiac and\ncompressive, remain a major reason for consultation. Toxic nodular goiter is\npreponderant and its management, especially radical, must be multidisciplinary\nand according to the profile.
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