Graves' disease
Evidence: Antibody
Names
Autoimmune hyperthyroidism
Basedow disease
Graves' disease
Graves’ hyperthyroidism
Exophthalmic goiter
Parry disease
Toxic diffuse goiter
Description
Graves’ disease is an autoimmune thyroid disorder that affects the thyroid gland. The thyroid is responsible for producing hormones that regulate processes involved with energy storage and consumption (metabolism), including maintenance of weight, breathing, heart rate, and temperature.
In Graves’ disease, antibodies cause the thyroid to enlarge and to produce hormones, even when the body doesn’t need them. Excessive thyroid hormone production disrupts the regulation of metabolism. The heart, skin, muscles, eyes, and other organs can be affected.
Patients often experience loss of weight, tiredness, and heat sensitivity. Some patients develop Graves’ ophthalmopathy, a subtype of Graves’ disease characterized by protruding eyes. The cause of the disease is uncertain, but risk may increase with excessive stress, certain genes, infection, pregnancy, other autoimmune disorders, and smoking. Graves’ disease is more common in females than in males. Graves’ disease is a chronic condition with no cure, but symptoms are manageable through medication and surgery.
Bloggers
Diagnostic Journeys
Prevalence
US Cases: 2 million [Eaton 2007]
Typical Age of onset
20-50 [Pokhrel 2019]
Symptoms
Anxiety and irritability
A fine tremor of hands or fingers
Warm, moist skin
Palpitations
Intolerance to heat
Increase in perspiration
Weight loss, despite normal eating habits
Enlargement of your thyroid gland (goiter)
Changes in menstrual cycle
Easy bruising
Erectile dysfunction or reduced libido
Frequent bowel movements
Fatigue
Insomnia
Bulging eyes (Graves' ophthalmopathy)
Thick, red skin on the shins or tops of the feet (Graves' dermopathy)
Source: Mayo Clinic