Thyrotoxicosis

Case contributed by Francisco Samson Cajal
Diagnosis almost certain

Presentation

Malaise, chest pain, tachycardia (160 bpm), exophtalmos, lower limb edema

Patient Data

Age: 30 years
Gender: Female

Initial study

ultrasound

Homogeneous thyroid gland enlargement with diffusely decreased echogenicity 1.

Increased parenchymal flow on color Doppler study.

No focal thyroid lesion. No neck adenomegaly.

Lab values:

TSH less than 0.01 mIU/L.

T4 levels out of range of the upper limit.

Positive serum levels of antibodies to the TSH receptor. 

Case Discussion

Patient was diagnosed with Graves' disease

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