Guillain-Barré syndrome with transition from hashimoto's to graves' disease: a case report

Abstract Background On rare occasions, there can be a transition from Hashimoto's to Graves' disease. However, there are no reported cases of transition from Hashimoto's to Graves' disease triggered by the onset of Guillain-Barré syndrome. Case presentation. Sixteen years prior,...

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Main Authors: Mari Asano, Tsuneaki Kenzaka
Format: Article
Language:English
Published: BMC 2022-06-01
Series:BMC Endocrine Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12902-022-01067-7
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author Mari Asano
Tsuneaki Kenzaka
author_facet Mari Asano
Tsuneaki Kenzaka
author_sort Mari Asano
collection DOAJ
description Abstract Background On rare occasions, there can be a transition from Hashimoto's to Graves' disease. However, there are no reported cases of transition from Hashimoto's to Graves' disease triggered by the onset of Guillain-Barré syndrome. Case presentation. Sixteen years prior, a 55-year-old woman was diagnosed with Hashimoto's disease and followed up without medication. One week after the appearance of signs of intestinal inflammation, weakness in the extremities was observed, and a cerebrospinal fluid test was positive for anti-GM1 IgG antibody, leading to the diagnosis of Guillain-Barré syndrome. In addition, hyperthyroidism was observed at the time of admission, and Graves' disease was diagnosed based on autoantibodies and thyroid echoes. Numbness in the extremities was relieved by high-dose intravenous gamma globulin. Conclusion With the onset of Guillain-Barré syndrome, helper T cells became predominantly type 1, effector B cells increased in number, and thyroid-stimulating antibodies were produced, leading to the conclusion that Hashimoto's disease progressed to Graves' disease. Therefore, it is necessary to pay attention to the transition of thyroid function during Guillain-Barré syndrome.
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spelling doaj.art-0f211b720c7546cc8971dd2ce147eb522022-12-22T03:29:46ZengBMCBMC Endocrine Disorders1472-68232022-06-012211510.1186/s12902-022-01067-7Guillain-Barré syndrome with transition from hashimoto's to graves' disease: a case reportMari Asano0Tsuneaki Kenzaka1Department of Internal Medicine, Hyogo Prefectural Tamba Medical CenterDepartment of Internal Medicine, Hyogo Prefectural Tamba Medical CenterAbstract Background On rare occasions, there can be a transition from Hashimoto's to Graves' disease. However, there are no reported cases of transition from Hashimoto's to Graves' disease triggered by the onset of Guillain-Barré syndrome. Case presentation. Sixteen years prior, a 55-year-old woman was diagnosed with Hashimoto's disease and followed up without medication. One week after the appearance of signs of intestinal inflammation, weakness in the extremities was observed, and a cerebrospinal fluid test was positive for anti-GM1 IgG antibody, leading to the diagnosis of Guillain-Barré syndrome. In addition, hyperthyroidism was observed at the time of admission, and Graves' disease was diagnosed based on autoantibodies and thyroid echoes. Numbness in the extremities was relieved by high-dose intravenous gamma globulin. Conclusion With the onset of Guillain-Barré syndrome, helper T cells became predominantly type 1, effector B cells increased in number, and thyroid-stimulating antibodies were produced, leading to the conclusion that Hashimoto's disease progressed to Graves' disease. Therefore, it is necessary to pay attention to the transition of thyroid function during Guillain-Barré syndrome.https://doi.org/10.1186/s12902-022-01067-7Hashimoto's diseaseGraves' diseaseGuillain-Barré syndromeTransitionCase report
spellingShingle Mari Asano
Tsuneaki Kenzaka
Guillain-Barré syndrome with transition from hashimoto's to graves' disease: a case report
BMC Endocrine Disorders
Hashimoto's disease
Graves' disease
Guillain-Barré syndrome
Transition
Case report
title Guillain-Barré syndrome with transition from hashimoto's to graves' disease: a case report
title_full Guillain-Barré syndrome with transition from hashimoto's to graves' disease: a case report
title_fullStr Guillain-Barré syndrome with transition from hashimoto's to graves' disease: a case report
title_full_unstemmed Guillain-Barré syndrome with transition from hashimoto's to graves' disease: a case report
title_short Guillain-Barré syndrome with transition from hashimoto's to graves' disease: a case report
title_sort guillain barre syndrome with transition from hashimoto s to graves disease a case report
topic Hashimoto's disease
Graves' disease
Guillain-Barré syndrome
Transition
Case report
url https://doi.org/10.1186/s12902-022-01067-7
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