23rd May 2025

A 35-year-old female presented with increased fatigue and irritability over the last few months.

A 35-year-old female presented with increased fatigue and irritability over the last few months. She also reports weight loss despite eating a lot. She has noted that her vision is more blurry and has pain on eye movement. On examination, she has a HR of 100bpm and regular. She has fine tremors, and her hands are sweaty and warm. She has lid lag and eye proptosis with conjunctival injection. She has a painless  thyroid swelling with  symmetrical enlargement. TSH is 0.1 mU/L and free T4 is 30 pmol/L. Anit-TRAbs antibodies are positive. What would thyroid tissue biopsy show?

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