Endocrine Surgeon, Thyroid Surgeonendocrine surgery and thyroid surgery information for patients and health professionals

What are the symptoms and signs of Graves' Disease?

The symptoms and signs of Graves' disease can be divided into two main sections:

1) Symptoms due to thyroid hormone excess (Thyrotoxicosis) and the potentiation of the catecholamines.
2) Symptoms due to the autoantibodies.

Symptoms due to thyroid hormone excess (Thyrotoxicosis)

  • Irritability
  • Weight loss 90% cases, weight gain 10%
  • Heat intolerance
  • Sweating
  • Fast or irregular heart rate
  • Vomiting or diarrhoea
  • Irregular periods and infertility
  • Reduced libido and erectile dysfunction in the male
  • A fine tremor with possible muscle weakness (unable to climb stairs)
  • Heart failure in the elderly
  • Increased bone turnover,osteoporosis and possible fracture of bones
  • Fever
  • In children: behavioural disorders.

Symptoms due to the auto-antibodies

  • Eye disease: called thyroid associated ophthalmopathy (TAO). This is discussed under Thyroid Eye Disease.
  • Skin lesions: thick like orange peel, common over the shins (pretibial myxoedema)
 
-