Fluctuating Hyperthyroidism and Hypothyroidism in Graves? Disease: The Swinging Between Two Clinical Entities

被引：3

作者：

Shrestha, Aakriti ^{[1
]}

Adhikari, Namrata ^{[1
]}

Devkota, Saujan ^{[1
]}

Chowdhury, Tutul ^{[1
]}

Shiferaw-Deribe, Zewge ^{[2
]}

Gousy, Nicole ^{[3
]}

Adhikari, Samaj ^{[1
]}

机构：

[1] Interfaith Med Ctr, Internal Med, Brooklyn, NY USA

[2] Interfaith Med Ctr, Internal Med Endocrinol, Brooklyn, NY USA

[3] Amer Univ Antigua, Med, New York, NY 10005 USA

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2022年 / 14卷 / 08期

关键词：

thyroid peroxidase antibodies; hashimoto's hypothyroidism; hypothyroid; hyperthyroid; graves's disease;

D O I：

10.7759/cureus.27715

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Autoimmune thyroid disorders are frequently encountered in clinical practice and consist of a spectrum ranging from Graves' hyperthyroidism to Hashimoto's hypothyroidism. Generally, patients with autoimmune thyroid disorders will lean towards one end of the spectrum or the other, with fluctuations between hyper-and hypothyroidism rarely seen. This is especially the case when persistent hyperthyroidism occurs after a prolonged period of hypothyroidism. Here, we present a case of a young female patient initially presenting with Graves' disease with a previous history of hypothyroidism.

引用

页数：5

共 8 条

[1] Hypothyroidism conversion to hyperthyroidism: it's never too late
Ahmad, Ehtasham
Hafeez, Kashif
Arshad, Muhammad Fahad
Isuga, Jimboy
Vrettos, Apostolos
[J]. ENDOCRINOLOGY DIABETES AND METABOLISM CASE REPORTS, 2018,
[2] Alhajjaj AH, 2020, CASE REP CLIN MED, V9, P361, DOI [10.4236/crcm.2020.912050, DOI 10.4236/CRCM.2020.912050]
[3] Conversion of autoimmune hypothyroidism to hyperthyroidism
Furqan S.
Haque N.-U.
Islam N.
[J]. BMC Research Notes, 7 (1)
[4] Autoimmune alternating hyper- and hypo-thyroidism: a rare condition in pediatrics
Martins, Luisa Correia
Coutinho, Ana Rita
Jeronimo, Monica
Caetano, Joana Serra
Cardoso, Rita
Dinis, Isabel
Mirante, Alice
[J]. ENDOCRINOLOGY DIABETES AND METABOLISM CASE REPORTS, 2016,
[5] Thyrotropin-Blocking Autoantibodies and Thyroid-Stimulating Autoantibodies: Potential Mechanisms Involved in the Pendulum Swinging from Hypothyroidism to Hyperthyroidism or Vice Versa
McLachlan, Sandra M.
Rapoport, Basil
[J]. THYROID, 2013, 23 (01) : 14 - 24
[6] GRAVES-DISEASE FOLLOWING HYPOTHYROIDISM DUE TO HASHIMOTO DISEASE - STUDIES OF 8 CASES
TAKASU, N
YAMADA, T
SATO, A
NAKAGAWA, M
KOMIYA, I
NAGASAWA, Y
ASAWA, T
[J]. CLINICAL ENDOCRINOLOGY, 1990, 33 (06) : 687 - 698
[7] TSBAb (TSH-stimulation blocking antibody) and TSAb (thyroid stimulating antibody) in TSBAb-positive patients with hypothyroidism and Graves' patients with hyperthyroidism
Takasu, N
Yamashiro, K
Ochi, Y
Sato, Y
Nagata, A
Komiya, I
Yoshimura, H
[J]. HORMONE AND METABOLIC RESEARCH, 2001, 33 (04) : 232 - 237
[8] Alternating hyperthyroidism and hypothyroidism in Graves' disease
Wong, Mimi
Inder, Warrick J.
[J]. CLINICAL CASE REPORTS, 2018, 6 (09): : 1684 - 1688

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