The third case illustrates a patient who was hospitalized due to Graves’ hyperthyroidism. He had
classic clinical manifestations along with ophthalmopathy, high FT4 level and low TSHS level. The patient has been treated for seven years with anti-thyroid, Thyrozole; and subsequently, he asked for surgical treatment. The indication for surgical removal was due to greatly enlarged thyroid gland, which caused choking episodes plus the patient had been in euthyroid state. A subtotal thyroidectomy was then performed. Histopathological results following the surgery indicates Hashimoto’s thyroiditis. Microsomal antibody and thyroglobulin antibody tests also revealed postive results.