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    • The causes include:
    • It is caused due to overproduction of the thyroid hormone as a result of a malfunction of the immune system. The exact reason is unknown.
    • The pituitary gland, a small gland at the base of the brain controls the thyroid hormone production. The antibody released in this condition, Thyrotropin receptor antibodies (TRAb), regulates the pituitary gland, leading to overproduction of thyroid hormone.
    • Grave’s ophthalmopathy is caused due to the build up of carbohydrates in the muscles and tissues behind the eyes.
    • The risk factors include:
    • Gender - Women are at more risk than men
    • Ageing - usually affects people above the age 40
    • Pregnancy
    • Smoking
    • Family history
    • Autoimmune disorders such as rheumatoid arthritis and type 1 diabetes

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    Complications

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    Complications associated with this disease condition are:

    • Pregnancy issues – complication may include miscarriage
    • Heart Disorder – heart rhythm disorder and structural changes in the heart muscles
    • Thyroid Strom – hyperthyroidism if untreated lead to this life-threatening condition
    • Brittle Bones –As this condition is related to calcium regulation, osteoporosis can occur

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    Symptoms

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    Contact your provider if experiencing new, severe, or persistent symptoms.

    The symptoms may vary significantly from person to person. Some of the common symptoms are:

    • Enlargement of your thyroid gland (goiter)
    • Sudden weight loss
    • Mood swings
    • Heat sensitivity and an increase in perspiration or warm, moist skin
    • Abnormalities in menstrual cycle
    • Erectile dysfunction
    • Frequent bowel movements
    • Weakness
    • Change in skin texture and color, especially on top of the feet. (Graves' dermopathy)
    • Palpitation, fast heart beat

    Symptoms of Grave’s Opthalmopathy include:

    • Puffy eyes
    • Pain in the eye
    • Change in vision
    • Bulging eyes
    • Light sensitivity
    • Redness in eye

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    Diagnosis

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    One or more of these tests may be recommended by your medical provider.
    Diagnosis involves physical examination and other tests to ascertain the condition.

    Common tests & procedures

    Physical examination: Includes checking blood pressure, heart rate, examining bulging of the eyes, observing thyroid gland for enlargement (goiter).

    Thyroid function tests (TFTs): To measure the thyroid hormone (TH and TSH) levels.

    Blood test: To identify the associated antibody TRAb in the blood.

    Radioactive Iodine Uptake test: The amount of iodine absorption by thyroid gland help determine the disease condition. Image scan pattern iodine uptake will be useful in the diagnosis.

    Ultrasound: High frequency sound waves used to image thyroid gland, helps to identify enlargement.

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    Treatment

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    Treatment aims at either controlling the overproduction of thyroid hormone or blocking the activity of hormone that is overproduced.

    Medication

    Antithyroid medication: Control the overproduction of thyroid hormone.

    Propylthiouracil . Methimazole

    Beta blockers: Block the activity of hormone that is overproduced and provides relief from symptoms.

    Propranolol . Atenolol . Metoprolol . Nadolol

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  1. Graves’ disease is the most common cause of an overactive thyroid. It is important that Graves’ disease is diagnosed and treated early because the condition can affect heart function, bone structure and the eyes. What is Graves’ disease? Graves' disease is caused by an abnormality of the immune system.

    www.healthdirect.gov.au/graves-disease

    Graves’ disease is an autoimmune disease that affects the thyroid gland. The gland produces too much thyroid hormone, a condition known as hyperthyroidism. Thyroid hormones regulate body temperature, heart rate and metabolism. An overactive thyroid causes problems with organs like the heart, as well as bones and muscles. Treatments can help.

    my.clevelandclinic.org/health/diseases/15244-grav…
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