Movement Disorders (revue)

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An urge to move with L-thyroxine: clinical, biochemical, and polysomnographic correlation.

Identifieur interne : 000F50 ( Ncbi/Merge ); précédent : 000F49; suivant : 000F51

An urge to move with L-thyroxine: clinical, biochemical, and polysomnographic correlation.

Auteurs : Eng-King Tan [Singapour] ; Su-Chin Ho ; Leonard Koh ; Ratnagopal Pavanni

Source :

RBID : pubmed:15378680

English descriptors

Abstract

We report on the cause and effect relationship of restless legs syndrome (RLS) with L-thyroxine treatment in a hypothyroid patient with low serum ferritin. Upon challenge and withdrawal of L-thyroxine, there was a significant change in the International Restless Legs Syndrome Study Group severity score (26/40 to 6/40), the periodic limb movements (PMLS) index (20/hour to 10/hour), the number of arousals due to PLMS (59 to 22), sleep efficiency (74 to 85%), and biochemical parameters. RLS symptoms can complicate thyroxine replacement in at-risk hypothyroid patients with low serum ferritin. Early diagnosis and iron replacement could significantly reduce patient morbidity.

DOI: 10.1002/mds.20219
PubMed: 15378680

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Le document en format XML

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<name sortKey="Tan, Eng King" sort="Tan, Eng King" uniqKey="Tan E" first="Eng-King" last="Tan">Eng-King Tan</name>
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<nlm:affiliation>Department of Neurology, Singapore General Hospital, Singapore. gnrtek@sgh.com.sg</nlm:affiliation>
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<term>Ferritins (blood)</term>
<term>Humans</term>
<term>Hypothyroidism (drug therapy)</term>
<term>Iron (therapeutic use)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neurologic Examination</term>
<term>Polysomnography</term>
<term>Restless Legs Syndrome (chemically induced)</term>
<term>Restless Legs Syndrome (diagnosis)</term>
<term>Risk Factors</term>
<term>Thyroid Function Tests</term>
<term>Thyroiditis, Autoimmune (drug therapy)</term>
<term>Thyroxine (adverse effects)</term>
<term>Thyroxine (therapeutic use)</term>
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<term>Thyroxine</term>
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<term>Ferritins</term>
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<keywords scheme="MESH" qualifier="chemically induced" xml:lang="en">
<term>Restless Legs Syndrome</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Restless Legs Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Hypothyroidism</term>
<term>Thyroiditis, Autoimmune</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Iron</term>
<term>Thyroxine</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neurologic Examination</term>
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<div type="abstract" xml:lang="en">We report on the cause and effect relationship of restless legs syndrome (RLS) with L-thyroxine treatment in a hypothyroid patient with low serum ferritin. Upon challenge and withdrawal of L-thyroxine, there was a significant change in the International Restless Legs Syndrome Study Group severity score (26/40 to 6/40), the periodic limb movements (PMLS) index (20/hour to 10/hour), the number of arousals due to PLMS (59 to 22), sleep efficiency (74 to 85%), and biochemical parameters. RLS symptoms can complicate thyroxine replacement in at-risk hypothyroid patients with low serum ferritin. Early diagnosis and iron replacement could significantly reduce patient morbidity.</div>
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<AbstractText>We report on the cause and effect relationship of restless legs syndrome (RLS) with L-thyroxine treatment in a hypothyroid patient with low serum ferritin. Upon challenge and withdrawal of L-thyroxine, there was a significant change in the International Restless Legs Syndrome Study Group severity score (26/40 to 6/40), the periodic limb movements (PMLS) index (20/hour to 10/hour), the number of arousals due to PLMS (59 to 22), sleep efficiency (74 to 85%), and biochemical parameters. RLS symptoms can complicate thyroxine replacement in at-risk hypothyroid patients with low serum ferritin. Early diagnosis and iron replacement could significantly reduce patient morbidity.</AbstractText>
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