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GRAVES' DISEASE
Graves' disease is an autoimmune disorder that results into overproduction of thyroid hormones.
Thyrotoxicosis signs and symptoms include hyperactivity, irritability, insomnia, dysphoria, sweating, heat intolerance, palpitations, weakness, fatigue, weight loss despite increased appetite, diarrhea, steatorrhea polyuria, decreased libido, tachycardia, tremor, goiter, alopecia, gynecomastia, eyelid lag or retraction and rarely periodic paralysis.
Clinical features in thyrotoxic patient that suggests Graves's disease are ophthalmopathy, thyroid dermopathy, thyroid acropachy, diffuse goiter, antibodies to thyroid peroxidase or thyroglobulin and thyroid radionuclide scan demonstrating a diffuse goiter.

Definition

  • Graves’ disease is an autoimmune disorder in which thyrotropin receptor antibodies stimulate the thyroid stimulating hormone (TSH) receptor, increasing thyroid hormone production
    • Most common cause of hyperthyroidism

Signs and Symptoms

Signs & Symptoms of Thyrotoxicosis
  • Hyperactivity, irritability, insomnia, dysphoria
  • Sweating, heat intolerance
  • Palpitations
  • Weakness, fatigue
  • Wt loss w/ increased appetite
    • Wt gain may occur
  • Diarrhea, steatorrhea, polyuria
  • Decreased libido, oligomenorrhea
  • Tachycardia, atrial fibrillation in the elderly
  • Tremor
  • Goiter
  • Alopecia, gynecomastia
  • Eyelid lag or retraction
  • Rarely periodic paralysis (more often in Asian men)
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