Endocrine Abstracts

A 30-year old young man attended A&E with palpitation. He had history of ADHD with learning difficulty. Provisional diagnosis was made as hyperthyroidism. He received treatment with anti-thyroid medication and beta-blocker. On follow up, his free hormones (FT4 & FT3) were nearly unchanged with slowly rising TSH. He remained asymptomatic following the first episode of palpitation. Following cessation of treatment with anti-thyroid medication, his TSH returned to normal with high free thyroxine. Patient was subsequently discharged with advice. This case highlights the importance of early suspicion in relatively asymptomatic patient, early genetic test in young patient with relevant history and biochemical abnormality.