Sujit K Bhattacharya*
Department of General Medicine, Glocal Hospital, Krishnanagore, West Bengal, India
Received date: March 22, 2017; Accepted date: March 23, 2017; Published date: March 28, 2017
Copyright: © 2017 Bhattacharya SK. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Grave’s disease; Thyrotoxicosis; Tremor; Thyroid stimulating hormone; Exophthalmos
A young man aged about 29 years attended the Outpatient’s Department of Glocal Hospital, Krishnanagore, West Bengal, India with the complains of tiredness, loss of body weight, excessive sweating, and protrusion of the eye balls. On further enquiry, it was found that he had bilateral exophthalmos, raised systolic blood pressure 160/80 mmHg, tachycardia 120 beats per minute, and fine tremor in the outstretched fingers of the hands, and had diarrheoa. Laboratory tests showed that T4 was raised and TSH was below normal. A diagnosis of Grave’s disease was made. He was advised to take Carbimazole (Neomercazole) 10 mg three times a day. He improved on treatment. Grave’s disease is a combination of thyrotoxicosis and exophthalmos. The other options of treatment are radio-iodine treatment and when required surgery. The tremor may be controlled by using propranolol. Grave’s disease though not common is also not rare. In my clinical experience, I saw 3 cases of Grave’s disease in one year.