Endocrine Abstracts

Clinical presentation: This 32 year old lady was referred with a history of weight loss, sweating, tremor and anxiety and biochemical hyperthyroidism; fT4 41 pmols/l (9.00–25.00 pmols/l) TSH <0.05 miu/l (0.30–5.00 miu/l); strongly positive TPO antibodies (1600 IU/ml.). She was toxic clinically, had subtle left sided proptosis and a palpable left sided thyroid nodule. She was started on carbimazole 20 mg and the initial differential diagnosis was between Grave&#14...