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Graves’ disease presenting as severe postpartum pruritus
  1. Rachel Marinch Carpenter1,2,
  2. Jessica Wongward2
  1. 1Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
  2. 2Family Medicine, Saint Joseph Hospital Family Medicine Residency, Denver, Colorado, USA
  1. Correspondence to Dr Rachel Marinch Carpenter, rachel.marinch{at}


A 39-year-old multigravida woman presented 3 weeks postpartum with worsening generalised pruritus without primary rash. Workup was significant for cholestasis and undiagnosed Graves’ disease. She began to have symptomatic relief after starting methimazole, and liver function tests normalised as she became euthyroid.

  • hyperthyroidism
  • thyroid disease
  • liver disease
  • general practice / family medicine
  • thyroiditis
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  • Contributors JW provided all primary care to the patient. She obtained the patient consent and provided the clinical summary, therapy and results. She also coordinated with the specialists and acquired all records. RMC reviewed the records and discussed the case with JW. She performed literature review, wrote the background, discussion and learning points and edited the case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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