Graves disease - goiter and thyroid eye disease

Discussion:

This is a case Graves disease with classic presentation of thyrotoxicosis confirmed with laboratory results. Ultrasound findings are non-specific and typically demonstrate an heterogeneous goiter. 99m Tc pertechnetate demonstrates homogeneously increased uptake. 

Thyroid associated orbitopathy affects up to 25% of patients, can can develop after hyperthyroidism has been treated. 

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