Graves' disease gay

• Facts:
  Autoimmune hyperthyroidism
  
• History / PE:
  Thyrotoxicosis (weight loss, insomnia, tachycardia, hyperactivity)
  Exopthmalmos, pretibial myxedema , thyroid bruits
• Diagnosis:
  Elevated thyroid stimulating immunoglobulin (TSI), autoantibodies against TSH receptor
  
  Diffuse follicular hyperplasia
• Treatment:
  Radioactive iodine ablative therapy (may lead to hypothyrodisim)
  Propylthiouracil (PTU)
  Methimazole (MMI)
• Complications:
  Atrial fibrillation
• Notes:
  PTU and MMI are associated with agranulocytosis
  Graves' ophthalmopathy is caused by periorbital lymphocytic infiltration
• See Also:
  Hyperthyroidism