MRCEM Notes

Graves' disease: features

Graves' disease is the most common cause of thyrotoxicosis. It is typically seen in women aged 30-50 years.

Features
  • typical features of thyrotoxicosis
  • specific signs limited to Grave's (see below)

Features seen in Graves' but not in other causes of thyrotoxicosis
  • eye signs (30% of patients): exophthalmos, ophthalmoplegia
  • pretibial myxoedema
  • thyroid acropachy

Autoantibodies
  • TSH receptor stimulating antibodies (90%)
  • anti-thyroid peroxidase antibodies (75%)
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