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Graves' disease with pancytopenia: A rare case report
Neda Meftah1, Sadegh Sedaghat1, Soghra Rabizadeh2
1Department of Internal Medicine, School of Medicine Babol University of Medical Sciences Babol Iran.
Clinical Case Reports
|January 8, 2024
Summary
Graves' disease (GD) can present with pancytopenia, a rare complication. Prompt diagnosis and treatment with anti-thyroid drugs can resolve hematologic abnormalities, suggesting GD should be considered in pancytopenia cases.
Area of Science:
- Endocrinology
- Hematology
Background:
- Graves' disease (GD) is an autoimmune disorder causing hyperthyroidism.
- Hematologic abnormalities are potential, though uncommon, manifestations of GD.
Observation:
- This case report details a patient initially diagnosed with pancytopenia.
- The patient exhibited no typical symptoms indicative of Graves' disease at presentation.
Findings:
- The patient's pancytopenia and overall clinical status significantly improved after initiating anti-thyroid drug therapy.
- This suggests a direct link between Graves' disease and the observed hematologic abnormality.
Implications:
- Graves' disease should be considered in the differential diagnosis for patients presenting with pancytopenia, especially when bone marrow examination is normal.
- Early consideration of GD in unexplained pancytopenia can lead to timely and effective treatment, improving patient outcomes.

