Delayed Diagnosis of TSH-Secreting Adenoma Attributed to Worsening Post-Traumatic Stress Disorder Symptoms in a Military Veteran Because of Provider Anchoring Bias Article Swipe
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Shyam K. Daya
,
Andrew O. Paulus
,
Ernest E. Braxton
,
Penny J. Vroman
,
Derek A. Mathis
,
Ryan Lin
,
Mark W. True
·
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.7205/milmed-d-16-00241
· OA: W2593968693
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.7205/milmed-d-16-00241
· OA: W2593968693
This case highlights the details of a rare diagnosis of TSHoma, which has an estimated 1 to 2 cases per million in the general population and an unknown prevalence in the military population, in a veteran who had symptoms that were presumed to be worsening PTSD. While understandable to attribute new symptoms to pre-existing diagnoses such as PTSD, clinicians should consider the possibility of alternative diagnoses and perform the routine workup when indicated.
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