Mark R. Pittelkow

All articles by Mark R. Pittelkow


Are You Confident of the Diagnosis? Hemochromatosis is a condition in which the absorption of iron from the intestinal mucosa is in excess of the loss of iron or of an individual’s need. It is a progressive disease, usually affecting adults, which leads to retention and damage in parenchymal tissues including the liver, heart, pancreas…

Generalized Myxedema

Are You Confident of the Diagnosis? Characteristic findings on physical examination Generalized myxedema is a manifestation of severe hypothyroidism developing over an extended period of time causing skin that appears waxy, doughy, swollen (although non-pitting) and dry. The initial symptoms include mental and physical sluggishness, constipation, loss of appetite, hoarseness in voice, leg cramps, cold…

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