RT Journal Article
SR Electronic
T1 Thyrotoxicosis in patients with hypothyroidism is not just overtreatment
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr-2017-221061
DO 10.1136/bcr-2017-221061
VO 2017
A1 Punith Kempegowda
A1 Ananth U Nayak
YR 2017
UL http://casereports.bmj.com/content/2017/bcr-2017-221061.abstract
AB A 62-year-old Caucasian woman presented with hypothyroid symptoms and biochemical thyrotoxic picture. Previously, she underwent right-sided subtotal thyroidectomy and left partial thyroid lobectomy for thyroid lumps, and treated with thyroxine replacement for hypothyroidism. Although there were no significant findings on clinical examination, investigations confirmed thyrotoxicosis with positive autoimmunity against thyroid gland—all in line with a diagnosis of Graves’ hyperthyroidism. We would like to highlight atypical presentations of thyroid dysfunction and conversion of underactive to overactive thyroid status with this case. Early recognition, diagnosis and intervention are essential to prevent and/or reduce associated morbidity and mortality. When encountered with such clinical conundrums, we recommend seeking opinion from an experienced endocrinologist while interpreting such situation.