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August 1980

Silent Thyrotoxic Thyroiditis in Association With Chronic Adrenocortical Insufficiency

Author Affiliations

From the Divisions of Endocrinology and Metabolism (Drs Parker and Fishman), Department of Medicine, University of Miami School of Medicine and the Veterans Administration Hospital, Miami; and the Department of Medicine, University of Pittsburgh School of Medicine (Drs Klein and Levey).

Arch Intern Med. 1980;140(8):1108-1109. doi:10.1001/archinte.1980.00330190120039

• A 23-year-old woman had silent thyrotoxic thyroiditis and chronic adrenocortical insufficiency (Addison's disease). Recent evidence suggests that silent thyroiditis is an autoimmune disease characterized by lymphocytic infiltration of the thyroid and by transient hyperthyroidism, followed occasionally by transient hypothyroidism and eventual recovery. This case would seem to expand the spectrum of autoimmune thyroid diseases (Graves' disease, lymphocytic [Hashimoto's] thyroiditis, and hypothyroidism) associated with chronic adrenocortical insufficiency.

(Arch Intern Med 140:1108-1109, 1980)