Graves disease

Case contributed by Kehinde Lawal
Diagnosis almost certain

Presentation

History of neck swelling, protruding eyeballs, and palpitations.

Patient Data

Age: 30 years
Gender: Female
ultrasound

Symmetric heterogeneously enlarged thyroid lobes devoid of nodular component or calcification. There is increased vascularity demonstrating the "thyroid inferno".

Case Discussion

Enlarged thyroid glands with markedly increased vascularity are typical of Graves disease, especially in the clinical setting of thyrotoxicosis or exophthalmos.

Other mimics are thyroiditis and thyrotoxic goiter.

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