A 32-year-old woman complains of body weight loss despite her increased appetite, nervousness, and tremor of the extremities. Objectively: the skin is moist; the thyroid gland is diffusely enlarged, painless, soft, and mobile. Blood test: increased level of T3, T4, and thyroid-stimulating hormone (THS). What is the most likely diagnosis?

Answer options

1. Thyroid carcinoma
2. Diffuse nontoxic goiter
3. Autoimmune (Hashimoto’s) thyroiditis
4. Thyroid adenoma
5. Diffuse toxic goiter

Explanation

A 32-year-old woman complains of body weight loss despite her increased appetite, nervousness, and tremor of the extremities. Objectively: the skin is moist: the thyroid gland is diffusely enlarged, painless, soft, and mobile. Blood test: increased level of T3, T4, and thyroid-stimulating hormone (THS). What is the most likely diagnosis?Autoimmune (Hashimoto’s) thyroiditis → period of hyper followed by hypothyroidism Diffuse nontoxic goiter → No hyperthyroid function just an enlarged gland