Question

A 38-year-old woman presents with a 6-month history of fatigue, weight gain and irregular heavy periods. Examination shows a diffusely enlarged, non-tender thyroid. TSH is elevated and free T4 is low. Thyroid peroxidase antibodies are positive. What is the most likely diagnosis?

Accepted Answer

Hashimoto’s thyroiditis

Answer

Subacute thyroiditis

Answer

Graves’ disease

Answer

Toxic multinodular goitre

Answer

Thyroid carcinoma

Practice question

A 38-year-old woman presents with a 6-month history of fatigue, weight gain and irregular heavy periods. Examination shows a diffusely enlarged, non-tender thyroid. TSH is elevated and free T4 is low. Thyroid peroxidase antibodies are positive. What is the most likely diagnosis?