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Delayed relaxation phase of deep tendon reflexes
    Differential Diagnosis[Top] [Nav]
hypothyroidism, neurosyphilis, parkinsonism, pernicious anemia, sarcoidosis of the central nervous system, myasthenia gravis, schizophrenia, diabetes mellitus, glucose administration, sprue, medications (propranolol, procainamide, reserpine, potassium), hypothermia, leg edema, normal puerperium, female sex, age
    Discussion -- not available online[Top] [Nav]
    Footnotes in Print Edition[Top] [Nav]
    (1) Tendon reflexes in myxedema: a valuable aid in diagnosis.
  Chaney WC.   J Am Med Assn. 1924;82:2013-2016.
    (2) A study of the ankle jerk in myxedema.
  Lambert EH, et al.   J Clin Endocrinol. 1951;11:1186-1205.
    (3) Neurologic aspects of thyroid dysfunction.
  Swanson JW, Kelly JJ Jr, et al.   Mayo Clin Proc 1981 Aug;56(8):504-12.  Pubmed+Abstract  Similars
    (4) Effect of propranolol on the duration of the Achilles tendon reflex.
  Waal-Manning HJ.   Clin Pharmacol Ther 1969 Mar-Apr;10(2):199-206.  Pubmed  Similars
    (5) Diagnostic limitations of of Achilles tendon reflex in thyroid disease.
  Simpson GM, Blair JH, Nartowicz GR.   NY State Med J. 1963;63:1148-1153.
    (6) Clinical and laboratory assessment of thyroid abnormalities.
  Kaplan MM.   Med Clin North Am 1985 Sep;69(5):863-80.  Pubmed+Abstract  Similars
    New References[Top] [Nav]
    101.Prolonged Achilles reflex in neurosyphilis simulating the "myxedema reflex".
  Simpson GM, Blair JH, Nartowicz GR.   N Engl J Med. 1963;268:89-91.
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    ©1986-2000 John Sotos, MD. All rights reserved.  Last updated 16:34 PDT on July 4, 2000.[Top]

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