Persistent hyperthyroidism and de novo Graves’ ophthalmopathy after total thyroidectomy

We report a patient with Graves’ disease who remained persistently hyperthyroid after a total thyroidectomy and also developed de novo Graves’ ophthalmopathy 5 months after surgery. She was subsequently found to have a mature cystic teratoma containing struma ovarii after undergoing a total hysterec...

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Autores principales: Tay, Wei Lin, Loh, Wann Jia, Lee, Lianne Ai Ling, Chng, Chiaw Ling
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bioscientifica Ltd 2017
Materias:
Unique/Unexpected Symptoms or Presentations of a Disease
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5640566/
https://www.ncbi.nlm.nih.gov/pubmed/29062485
http://dx.doi.org/10.1530/EDM-17-0109
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author Tay, Wei Lin
Loh, Wann Jia
Lee, Lianne Ai Ling
Chng, Chiaw Ling
author_facet Tay, Wei Lin
Loh, Wann Jia
Lee, Lianne Ai Ling
Chng, Chiaw Ling
author_sort Tay, Wei Lin
collection PubMed
description We report a patient with Graves’ disease who remained persistently hyperthyroid after a total thyroidectomy and also developed de novo Graves’ ophthalmopathy 5 months after surgery. She was subsequently found to have a mature cystic teratoma containing struma ovarii after undergoing a total hysterectomy and salpingo-oophorectomy for an incidental ovarian lesion. LEARNING POINTS: It is important to investigate for other causes of primary hyperthyroidism when thyrotoxicosis persists after total thyroidectomy. TSH receptor antibody may persist after total thyroidectomy and may potentially contribute to the development of de novo Graves’ ophthalmopathy.
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spelling pubmed-56405662017-10-23 Persistent hyperthyroidism and de novo Graves’ ophthalmopathy after total thyroidectomy Tay, Wei Lin Loh, Wann Jia Lee, Lianne Ai Ling Chng, Chiaw Ling Endocrinol Diabetes Metab Case Rep Unique/Unexpected Symptoms or Presentations of a Disease We report a patient with Graves’ disease who remained persistently hyperthyroid after a total thyroidectomy and also developed de novo Graves’ ophthalmopathy 5 months after surgery. She was subsequently found to have a mature cystic teratoma containing struma ovarii after undergoing a total hysterectomy and salpingo-oophorectomy for an incidental ovarian lesion. LEARNING POINTS: It is important to investigate for other causes of primary hyperthyroidism when thyrotoxicosis persists after total thyroidectomy. TSH receptor antibody may persist after total thyroidectomy and may potentially contribute to the development of de novo Graves’ ophthalmopathy. Bioscientifica Ltd 2017-10-13 /pmc/articles/PMC5640566/ /pubmed/29062485 http://dx.doi.org/10.1530/EDM-17-0109 Text en © 2017 The authors http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en_GB This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en_GB) .
spellingShingle Unique/Unexpected Symptoms or Presentations of a Disease
Tay, Wei Lin
Loh, Wann Jia
Lee, Lianne Ai Ling
Chng, Chiaw Ling
Persistent hyperthyroidism and de novo Graves’ ophthalmopathy after total thyroidectomy
title Persistent hyperthyroidism and de novo Graves’ ophthalmopathy after total thyroidectomy
title_full Persistent hyperthyroidism and de novo Graves’ ophthalmopathy after total thyroidectomy
title_fullStr Persistent hyperthyroidism and de novo Graves’ ophthalmopathy after total thyroidectomy
title_full_unstemmed Persistent hyperthyroidism and de novo Graves’ ophthalmopathy after total thyroidectomy
title_short Persistent hyperthyroidism and de novo Graves’ ophthalmopathy after total thyroidectomy
title_sort persistent hyperthyroidism and de novo graves’ ophthalmopathy after total thyroidectomy
topic Unique/Unexpected Symptoms or Presentations of a Disease
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5640566/
https://www.ncbi.nlm.nih.gov/pubmed/29062485
http://dx.doi.org/10.1530/EDM-17-0109
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