Article Text
Unusual presentation of more common disease/injury
Development of Graves’ disease after long-standing hypothyroidism on treatment, with acute toxicity to thionamides and lithium
Thyroid hyperfunction in a patient with long-standing hypothyroidism is uncommon. Here, we describe and discuss the unusual scenario of development of severe skin rash to carbimazole, with subsequent acute toxicity to lithium in clinically indicated doses, in a patient who manifested hyperthyroidism after being on treatment for hypothyroidism for 7 years.