A case of severe cholestatic jaundice associated with Graves' disease.

Physical examination revealed severe jaundice. There were no signs of chronic liver disease. He was afebrile with a regular pulse rate of 100 beats per minute and normal blood pressure. He had no signs of thyroid eye disease and no external goiter. Respiratory and cardiovascular examinations were normal. Chest radiography and echocardiography excluded any kinds of cardiac failure. There was no hepatomegaly or lymphadenopathy but the spleen was enlarged 3 cm below the costal margin and was smooth and nontender.