Fw: other causes

[Guest guest]

Dear Elaine,

I appreciate all your help! Thanks in advance.

I never mentioned muscle weakness, but I have had a curious thing at night

sometimes. It seems to have stopped happening now but for a long while, I would

wake up at night to find one or the other of my arms would not move. I thought I

must have slept on them funny, you know, and they were just very very asleep. I

would have to pick the arm up with the other one to move it. It never happened

in both arms at once, but I think they both experienced it. Does this sound like

a Graves' symptom?

I read hypokalemic periodic paralysis awhile ago and now I wish I'd made a

copy of it for myself. I think it was reading that that made me think of the arm

experience.

I agree with you that I have euthyroid GD. I have had many years of hyper

symptoms and now the eye thing. I am hoping that i am going into remission,

although I still have loads of symptoms of hyper. If euthyroid is both

Hashimoto's and Graves' and Graves' goes into remission does it follow that

Hashimoto's will continue until one is hypothyroid? That there is no recovery

possible, in other words. Or conversely, does Hashimoto's sometimes go into

remission leaving one open to a hyper episode? Are there any good reads on this?

Date: Fri, 30 Mar 2001 11:34:45 EST

FromSubject: Re: other causes

Hi ,

This is from my book.

It's a table I reprinted with permission from W.B. Saunders from " The

Ophthalmopathy of Graves' Diseae by Devron Char, M. D. in Medical

Clinics of

North America, Vol. 75 (1) The Thyroid, Edited by Greenspan, Frances

M.D. Jan

1991.

Non-neoplastic Conditions that can Simulate Early Thryoid Changes of

Lid

Retraction or Apparent Proptosis

Myopia

Posterior commissure brai lesions (Parinaud's syndrome)

Congenital anomalies

Cirrhosis

Medication induced (lithium, steroids, etc)

Contralateral ptosis

Hydrocepahlus

Hypokalemic periodic paralysis

Cushing's syndrome

Chronic obstructive lung disease

Uremia

Superior vena cava syndrome

Sympathomimetic drugs

Nerve III lesions

Status after lid surgery

, I'm in the process of writing an article on hypokalemic periodic

paralysis that I'll probably put on Themestream next week, but I don't

think

you have that since you've never mentioned muscle weakness. Also, the

autoimmune disorder myasthenia gravis (MG) may cause an eye disorder

similar

to GO.

From all you've mentioned, including the panic attacks, euthyroid GD

sounds

like it could be the best possibility.