RT Book, Section A1 Smith, Mindy A. A2 Usatine, Richard P. A2 Smith, Mindy A. A2 Mayeaux, Jr., E.J. A2 Chumley, Heidi S. SR Print(0) ID 1164350222 T1 Graves Disease and Goiter T2 The Color Atlas and Synopsis of Family Medicine, 3e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259862045 LK dermatology.mhmedical.com/content.aspx?aid=1164350222 RD 2024/03/29 AB A 32-year-old woman presents with fatigue and "eye strain" (Figure 236-1). She had been working as a secretary and noticed difficulty focusing her eyes. She said she was anxious and was having difficulty writing. She reported that her sister was taking medication for "thyroid trouble." A low thyroid-stimulating hormone (TSH) and an elevated free thyroxine (T4) level were found on laboratory testing, and the patient was diagnosed with Graves disease (GD). Her thyroid scan showed an enlarged thyroid with increased uptake (Figure 236-2). The patient chose radioactive iodine (RAI) as her treatment and her symptoms resolved. One year later she required levothyroxine treatment.