Secondary hypothyroidism following the Resolution of Graves’ Disease: A Case Report

This is the case report of a 39-year-old lady who presented with clinical and laboratory features secondary hypothyroidism two years after achieving biochemical resolution Graves' disease cessation anti-thyroid medications. The thyroid function tests at presentation revealed: Serum T3 1.33ng/ml (normal range 0.8-1.7ng/ml), T4 2.92 4.5-12.0µg/dl), TSH 0.2mIU/l 0.5-5.0mIU/l). Thyroid-related autoantibodies could not be assayed in patient due to financial constraints. However, pointers possible autoimmune nature include recurrence exophthalmos, dating symptoms back puerperium, relative lymphocytosis, moderately elevated erythrocyte sedimentation rate (ESR). was subsequently placed on levothyroxine low-dose steroids, achieved euthyroidism sixth, ninth, twelfth months follow-up. demonstrate development following disease, it also serves highlight judicious use acumen face limited support diagnose treat endocrine disorders resource-poor settings.