Woltman’s sign on Physical Exam



53-year-old man presented with fatigue and sensitivity to cold. A physical examination showed delayed relaxation of the ankle jerk reflex — Woltman’s sign — and laboratory evaluation confirmed a diagnosis of primary hypothyroidism.



Woltman’s sign, which refers to the delayed relaxation phase of a deep-tendon reflex, is a neurologic manifestation of hypothyroidism. This delayed relaxation can also be associated with pregnancy, anorexia nervosa, diabetes mellitus, and advanced age.



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