title: Graves' disease and coeliac disease: screening and treatment dilemmas.
abstract: The association between autoimmune thyroid disorders (AITD) and coeliac disease (CD) is well known, however, most of the literature concentrates on hypothyroidism and CD. We report a case of a 37-year-old woman with Graves' disease (GD) who presented with thyrotoxicosis that was not responsive to medical management. The screening for coeliac autoimmunity (CA) was positive. After initiation of a gluten-free diet the patient's thyrotoxicosis responded to medical management. She was given radioiodine therapy and is currently hypothyroid on a stable dose of thyroxine.
authors.affiliation: Department of Endocrinology, Topiwala National Medical College and BYL Nair Charitable Hospital, Mumbai, Maharashtra, India.
authors.forename: Ameya S
authors.initials: AS
authors.lastname: Joshi
authors.affiliation: Department of Endocrinology, Topiwala National Medical College and BYL Nair Charitable Hospital, Mumbai, Maharashtra, India.
authors.forename: Premlata K
authors.initials: PK
authors.lastname: Varthakavi
authors.affiliation: Department of Endocrinology, Topiwala National Medical College and BYL Nair Charitable Hospital, Mumbai, Maharashtra, India.
authors.forename: Nikhil M
authors.identifier: http://orcid.org/0000-0002-7643-1451
authors.initials: NM
authors.lastname: Bhagwat
authors.affiliation: Department of Gastroenterology, Topiwala National Medical College and BYL Nair Charitable Hospital, Mumbai, Maharashtra, India.
authors.forename: Narendhran Ramaswamy
authors.initials: NR
authors.lastname: Thiruvengadam
mesh_terms: D000328:Adult; D002446:Celiac Disease / Q000150:complications* / Q000175:diagnosis / Q000178:diet therapy; D055050:Diet, Gluten-Free; D005260:Female; D006111:Graves Disease / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D007457:Iodine Radioisotopes / Q000627:therapeutic use; D013971:Thyrotoxicosis / Q000150:complications* / Q000188:drug therapy; D013974:Thyroxine / Q000627:therapeutic use
chemical_list: D007457:Iodine Radioisotopes; D013974:Thyroxine