典型甲亢的临床表现众所周知。以各类心脏病、神经神精症状、胃肠道症状、各种肌病等为首发症状的甲亢也有不少报告。本例甲亢以维生素A缺乏症——皮肤损害(皮疹)和夜盲症为首发症状。患者陆某,女性,35岁,农民。因颜面部皮疹3月余伴夜间视力障碍1月余,而由眼科门诊转来内科。患者3月前始出现面部散在性皮疹,不痒不痛,逐渐增多,并漫延到背部及前胸部皮肤。近1月来面部皮疹增加显著,同时出现夜间视物不清,行走困难。到眼科就医,检查视力、眼底正常。无心悸、多汗、多食消瘦等症,便时稀时干,小便正常。既往身 The clinical manifestations of typical hyperthyroidism are well known. Various types of heart disease, neuropsychiatric symptoms, gastrointestinal symptoms, various myopathies as the first symptom of hyperthyroidism, there are many reports. In this case hyperthyroidism with vitamin A deficiency - skin damage (rash) and night blindness as the first symptom. Patient Lu, female, 35 years old, farmer. Due to facial rash in March with more than 1 night visual impairment, but transferred by the ophthalmic clinic. Patients began to appear 3 months ago facial scattered rash, itch does not hurt, gradually increased, and spread to the back and chest skin. Facial rash in recent months increased significantly, while apparent at night blurred vision, walking difficulties. To ophthalmology, check eyesight, fundus normal. No heart palpitations, sweating, eat more weight-loss embolism, they are often dry, urine normal. Past