ea0018p15 | (1) | MES2008
Siah Tee Wei
, Krishnan Binu
, Bingham Emma
, Tringham Jennifer
A 23-year-old man initially presented to his GP with palpable gland in his neck for 9 years. He was otherwise well with no medical problems. He has a family history of hypothyroidism. Examination revealed right submandibular gland enlargement and lymph nodes in the anterior cervical region bilaterally. His TPO antibody was negative and the only abnormal result was a raised TSH of 12.7. He was commenced on 50 μg of thyroxine daily. Ultrasound of the neck showed...