<prompt> All of the following are features of hypehyroidism except: September 2007Rise in BMRDelayed deep tendon reflexesWeight lossMoist skin  <response>: Ans. B: Delayed deep tendon reflexes Features of hypehyroidism Increased heat production - warm, moist skin, heat intolerance Telangiectasia, palmar erythema, pretibial myxoedema, onycholysis Weight loss, increased appetite, increased frequency of bowel movement but frank diarrhoea is uncommon. Oligomenorrhoea Tachycardia, exeional dyspnoea, hyperdynamic circulation; systolic hypeension is common and diastolic hypeension can occur in up to 30 of patients Tiredness, irritability, nervousness Fine tremor, hyperkinesias, hyperreflexia, muscle wasting There are eye signs in Graves disease Others: Occasionally, bone pain due to osteoporosis In elderly patients, there may be atrial fibrillation or cardiac failure Alopecia, pruritus, pretibial myxoedema, acropachy form of clubbing Atypical presentation may include: Atrial arrhythmias in middle aged patients Severe proximal myopathy with normal CK values Deterioration or unmasking of myasthenia gravis Hypokalaemic periodic paralysis - especially in orientals Chronic diarrhoea Hypercalcaemia Osteoporosis Gynaecomastia 