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Constellation of autoimmune manifestations in a patient with Graves' disease
  1. Aditya Dutta,
  2. Nimisha Jain,
  3. Anil Bhansali
  1. Department of Endocrinology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Dr Anil Bhansali, Department of Endocrinology, Nehru Hospital, PGIMER, Chandigarh 160012, India; anilbhansaliendocrine{at}

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Autoimmune manifestations of Graves’ disease include diffuse toxic goitre (95%), thyroid-associated ophthalmopathy (TAO, 25%–50%),1 pretibial myxoedema (PTM, <5%)2 and acropachy (<1%).2 Other autoimmune disorders associated with Graves’ disease include vitiligo (>10-fold increased risk), rheumatoid arthritis (3%–5%), pernicious anaemia, coeliac disease and Addison’s disease.3 A 46-year-old man with a history of thyrotoxicosis for 17 years presented with progressive redness and swelling of …

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