Graves' Disease Affecting one Thyroid lobe (Unilateral Graves' Disease): Case Report

Graves' disease with only unilateral involvement; a case report

“…It might be different in selective lobe enlargement which may mimic toxic adenoma or Plummer's disease. This distinctive presentation was seen in the current case as well as others [ [3] , [4] , [5] , [6] , [7] , [8] ]. On the other hand, one reported case showed no difference in the size of both lobes [ 3 ].…”

“…Unilateral uptake on scintigraphy was the distinctive feature of unilateral Graves' disease. All except one [ 7 ] involved the right lobe in a manner identical to our patient. A larger right thyroid lobe in a normal gland, and a preponderance of left lobe involvement in thyroid hemiagenesis, suggests the possibility of predominant right lobe organogenesis and functional advantages over the left [ 5 ].…”

“…In spite unilateral lobar involvement, management should be guided in the same way as with ordinary Graves' disease. As in the current patient, most of the cases reported in the literature were treated and responded well to antithyroid medication [ [4] , [5] , [6] , [7] ]. Bolognesi and Rossi [ 6 ] reported the findings of a Tc 99m scan carried out after two years of medical treatment.…”

“…Since then, few other cases have been reported [ [4] , [5] , [6] , [7] , [8] ]. In these, clinical symptoms of thyrotoxicosis are similar to those in ordinary Graves' disease, including ophthalmopathy.…”