Oscillation between Hyperthyroidism and Hypothyroidism in an Adolescent Female with Graves' Disease

Yee Lin Lee

doi:10.15605/jafes.040.01.07

Authors

Yee Lin Lee Universiti Putra Malaysia http://orcid.org/0000-0002-6111-2669

DOI:

https://doi.org/10.15605/jafes.040.01.07

Keywords:

Graves' disease, hyperthyroidism, hypothyroidism

Abstract

Graves’ disease (GD) presenting as fluctuating between hyperthyroidism and hypothyroidism is a rare phenomenon and poses a diagnostic challenge. A 14-year-old female with GD, initially thought to have Hashimoto’s thyroiditis presented with a goiter and oscillating thyroid function over the course of 4 years. This case depicts a case of GD with oscillating thyroid function which stresses the importance of TSH receptor antibodies (TRAb) in the evaluation of patients with hyperthyroidism without Graves’ ophthalmopathy.

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