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The Unusual Late-Onset Graves’ Disease following Hashimoto’s Related Hypothyroidism: A Case Report and Literature Review
المؤلفون المشاركون
Sukik, Aseel
Mohamed, Sara
Habib, Mhd-Baraa
Sardar, Sundus
Tanous, Bashar
Tahtouh, Raad
Mohamed, Mouhand F. H.
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-12-08
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Background.
The shift of Graves’ disease (GD) to Hashimoto’s disease- (HD-) related hypothyroidism is well established.
However, the opposite is rare.
This is likely to the loss of critical thyroid mass available for stimulation by thyroid hormone receptor stimulating antibody, making this shift unusual.
Herein, we report a young lady with a late shift from HD into GD and present a scoping literature review.
Case presentation.
We report a twenty-five-year-old lady with a sixteen-year-history of Hashimoto’s-related hypothyroidism stable on levothyroxine.
While following in the clinic, she started developing thyrotoxic symptoms in the form of anxiety, weight loss, and palpitation.
Physical examination was remarkable for mild exophthalmos.
The thyroid function test confirmed hyperthyroidism.
Levothyroxine-induced hyperthyroidism was initially suspected; however, the symptoms did not improve despite reducing and stopping levothyroxine.
Subsequent workup confirmed the diagnosis of GD.
Discussion and Conclusion.
This case highlights a unique association that has significant diagnostic and management implications.
This shift should be considered when hyperthyroidism persists despite reducing or stopping levothyroxine.
The diagnosis is made utilizing antibody titers and radioiodine update scan.
While the management depends on the disease’s stage and the treating physician preference, antithyroid agents can be used initially.
Following up these patients is essential as the shift can be transient.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Sukik, Aseel& Mohamed, Sara& Habib, Mhd-Baraa& Sardar, Sundus& Tanous, Bashar& Tahtouh, Raad…[et al.]. 2020. The Unusual Late-Onset Graves’ Disease following Hashimoto’s Related Hypothyroidism: A Case Report and Literature Review. Case Reports in Endocrinology،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1147039
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Sukik, Aseel…[et al.]. The Unusual Late-Onset Graves’ Disease following Hashimoto’s Related Hypothyroidism: A Case Report and Literature Review. Case Reports in Endocrinology No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1147039
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Sukik, Aseel& Mohamed, Sara& Habib, Mhd-Baraa& Sardar, Sundus& Tanous, Bashar& Tahtouh, Raad…[et al.]. The Unusual Late-Onset Graves’ Disease following Hashimoto’s Related Hypothyroidism: A Case Report and Literature Review. Case Reports in Endocrinology. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1147039
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1147039
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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