Woltman sign

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Woltman sign
Synonyms Myxedema reflex
Pronounce N/A
Specialty N/A
Symptoms Delayed relaxation phase of deep tendon reflexes
Complications N/A
Onset N/A
Duration N/A
Types N/A
Causes Hypothyroidism
Risks N/A
Diagnosis Clinical examination
Differential diagnosis N/A
Prevention N/A
Treatment Thyroid hormone replacement therapy
Medication N/A
Prognosis N/A
Frequency Common in untreated hypothyroidism
Deaths N/A


``` This template provides a structured summary of the medical condition known as Woltman sign, also referred to as the myxedema reflex. It is primarily associated with hypothyroidism and is characterized by a delayed relaxation phase of deep tendon reflexes. The condition is diagnosed through clinical examination and is commonly observed in individuals with untreated hypothyroidism. Treatment typically involves thyroid hormone replacement therapy. The field of medicine that deals with this condition is endocrinology. Woltman's sign is a medical symptom named after American neurologist Henry Woltman. It is characterized by a delay in the relaxation phase of the Achilles reflex test, often observed in patients with hypothyroidism.

Overview[edit | edit source]

The Achilles reflex test is a procedure performed by medical professionals to assess the functionality of the S1 and S2 nerves in the spinal cord. The test involves a gentle strike to the Achilles tendon using a reflex hammer. In a healthy individual, this strike will cause an immediate contraction of the calf muscle, followed by a quick relaxation. In patients with hypothyroidism, the relaxation phase is noticeably delayed. This phenomenon is known as Woltman's sign. It is not exclusive to hypothyroidism and can be observed in other conditions that affect nerve conduction.

Clinical Significance[edit | edit source]

Woltman's sign is a valuable diagnostic tool in the field of endocrinology. It is particularly useful in diagnosing hypothyroidism, a condition where the thyroid gland does not produce enough thyroid hormones. The presence of Woltman's sign, along with other symptoms such as fatigue, weight gain, and cold intolerance, can strongly suggest a diagnosis of hypothyroidism. However, it is not a definitive diagnostic criterion and further tests, such as thyroid function tests, are required to confirm the diagnosis.

See Also[edit | edit source]

References[edit | edit source]

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