Graves' Disease, Myasthenia Gravis, and Purpura
Authors: ROBERT S. PINALS
Journal: Annals of Internal Medicine (1977)

Letters and Corrections1 August 1977Graves' Disease, Myasthenia Gravis, and PurpuraROBERT S. PINALS, M.D., RUSSELL H. TOMAR, M.D., DAVID C. HAAS, M.D., FUAD FARAH, M.D.ROBERT S. PINALS, M.D.Search for more papers by this author, RUSSELL H. TOMAR, M.D.Search for more papers by this author, DAVID C. HAAS, M.D.Search for more papers by this author, FUAD FARAH, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-87-2-250_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: A case of thyroiditis, myasthenia gravis, and idiopathic thrombocytopenic purpura was reported recently by Segal and Weintraub (Ann Intern Med 85:761-762). We have seen a similar patient who had Graves' disease rather than thyroiditis.A 36-year-old Lebanese woman developed a goiter, exophthalmos, and symptoms of hyperthyroidism in 1955, with remission after a subtotal thyroidectomy. The histologic picture of thyroiditis was not present. In 1959 ecchymosis, hematuria, and gastrointestinal bleeding led to a diagnosis of idiopathic thrombocytopenic purpura. The platelet count was as low as 8000/mm3. Bone-marrow examination showed abundant megakaryocytes. Prednisone therapy produced temporary improvement and a...References1. SAHAYBLENDISGREENE BLR: Relation between myasthenia gravis and thyroid disease. Br Med J 1:762-765, 1965 CrossrefMedlineGoogle Scholar2. JACKSON I: "Hyper-thyroiditis"—a diagnostic pitfall. N Engl J Med 293:661-662, 1975 CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Upstate Medical Center Syracuse, NY 13210 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByHyperthyroidism and Venous Thrombosis: A Casual or Causal Association? A Systematic Literature ReviewThyroid-associated autoimmune coagulation disordersHemostatic changes in thyroid diseasesHemostasis and thyroid diseases revisitedIdiopathic Thrombocytopenic Purpura Associated With Graves disease: Unexpected Effects of Antithyroid Agent on ThrombocytopeniaAbnormal thyroid function test results in patients with Fisher-Evans syndromeFamilial association of autoimmune thrombocytopenia and hyperthyroidismAssociation maladie de Basedow et purpura thrombopénique auto-immunEffect of thymectomy on myasthenia gravis and autoimmune thrombocytopenic purpura in a 13-year-old girlEffect of Thymectomy on Myasthenia Gravis and Autoimmune Thrombocytopenic Purpura in a 13-Year-Old GirlHyperthyroidism and immune thrombocytopenia.Autoantibodies to Platelet Glycoprotein IIb/IIIa and to the Acetylcholine Receptor in a Patient with Chronic Idiopathic Thrombocytopenic Purpura and Myasthenia GravisMICHAEL J. ANDERSON, M.D., VIRGIL L. WOODS Jr., M.D., PATRICIA TANI, B.A., JON M. LINDSTROM, Ph.D., DONALD SCHMIDT, M.D., ROBERT McMILLAN, M.D.Genetic factors predisposing to autoimmune diseasesIdiopathic thrombocytopenic purpura and graves diseaseMyasthenia gravis, premature menopause, and thyroid autoimmunityMyasthenia Gravis and Werlhof's Disease 1 August 1977Volume 87, Issue 2Page: 250-250KeywordsHemorrhageHyperthyroidismIdiopathic thrombocytopenic purpuraMegakaryocytesMyasthenia gravisPlateletsThyroidThyroidectomy Issue Published: 1 August 1977 PDF DownloadLoading ...