Abstract
A painful and tender thyroid gland is a rare phenomenon in Graves' disease. We present a case of 31-years-old Guyanese female who was admitted to the hospital with complaints of neck pain for the past few days. She also reported increase appetite for a few weeks; she did not have palpitations, heat intolerance, or muscle weakness. The presence of hyperthyroidism with elevated TSI suggested that the patient had Graves' disease. Erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) were within normal limit, thus the diagnosis of thyroiditis was effectively ruled out. This is a rare case of a painful and tender thyroid gland in Graves' disease without the evidence of sub-acute thyroiditis.
Highlights
Graves' disease is the most common cause of hyperthyroidism
We present a case of Graves' disease where the patient primarily presented with complaints of pain and tenderness in the region of the thyroid gland without evidence of sub-acute thyroiditis
This was a rare case of Graves' disease presenting as a painful and tender thyroid gland without the evidence of subacute thyroiditis
Summary
Graves' disease is the most common cause of hyperthyroidism It is characterized by a diffusely enlarged thyroid gland with a high titer of thyroid-stimulating antibodies (TSI) and an increased uptake of radioiodine by the thyroid gland. A 31-year-old Guyanese female presented to the emergency department (ED) complaining of odynophagia and neck pain for few days She reported an increased appetite over the past few weeks. The presence of an enlarged thyroid gland and elevated thyroid hormones with positive TSI suggested that the patient had Graves' disease. During the third month follow up visit, she had no pain in the thyroid and was clinically euthyroid on antithyroid medication This was a rare case of Graves' disease presenting as a painful and tender thyroid gland without the evidence of subacute thyroiditis.
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