Delayed Relaxation Phase of Reflexes
Delayed relaxation phase of reflexes is a sign of hypothyroidism. Often better seen in the Achilles, particularly with the patient kneeling on a chair.
Patient 1:
This patient has a delayed phase of the patellar tendon reflex related to hypothyroidism.
Submitted by:
Patricio Riquelme, MD, PhD.
Oregon Health and Science University
Portland, Oregon, USA
Patient 2:
This patient has delayed relaxation phase of the biceps and brachioradialis reflexes related to hypothyroidism.
Patient 3:
This patient has a delayed relaxation phase of the brachioradialis reflex related to hypothyroidism.
Submitted by:
David Harmon, MD.
Oregon Health and Science University
Portland, Oregon, USA.
Patient 4:
This is a middle aged woman with a history of hypothyroidism who was admitted for confusion and found to have multiple signs of severe hypothyroidism and a TSH in the 200s. Findings included slow, slurred speech with a low pitched and hoarse voice, as well as delayed relaxation phase of the deep tendon reflexes.