{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T15:15:53Z","timestamp":1788189353512,"version":"build-2803163510"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,12,7]],"date-time":"2023-12-07T00:00:00Z","timestamp":1701907200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Graves' disease characteristically presents with a diffuse goiter secondary to the autoantibodies that target the thyrotropin receptors of the thyroid gland. Few cases have been reported of only one of the two lobes being affected. The cause of this phenomenon is still uncertain. Here we report on another case of unilateral Graves' disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>\n                      A 43-year-old female patient presented with a history of weight loss, palpitations and right sided neck swelling for 4 months. Clinical examination showed an enlarged right thyroid lobe. Laboratory investigations yielded evidence of thyrotoxicosis with suppressed thyroid stimulating hormone. In addition, anti-TSH receptor and anti-thyroperoxidase antibodies were positive. Neck Ultrasound showed an enlarged right thyroid lobe with increased vascularization. The isthmus and left lobe were both normal in size. A Tc\n                      <jats:sup>99m<\/jats:sup>\n                      pertechnetate thyroid scan demonstrated enlargement of the right thyroid lobe with diffuse intense uptake, whereas the left lobe was suppressed. A diagnosis of unilateral Graves' disease was made. The thyrotoxicosis was treated and maintained with methimazole.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Unilateral Graves' disease is a rare manifestation of Graves' disease, sharing the same autoimmune background and the symptoms of thyrotoxicosis. Enlargement of only one lobe was evident on clinical examination. The distinctive feature was unilateral uptake during thyroid scintigraphy. The exact pathophysiology of this condition has yet to be elucidated. Management options and responses are similar to those of classical Graves' disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Unilateral uptake during thyroid scintigraphy and\/or unilateral lobar goiter in the setting of hyperthyroidism can be the presentation of unilateral Graves' disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2023.109138","type":"journal-article","created":{"date-parts":[[2023,12,9]],"date-time":"2023-12-09T08:51:29Z","timestamp":1702111889000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Graves' disease with only unilateral involvement; a case report"],"prefix":"10.1097","volume":"114","author":[{"given":"Mohammed Saad","family":"Bu Bshait","sequence":"first","affiliation":[{"name":"Department of Surgery, College of Medicine, King Faisal University, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"12","key":"R1-52-20260325","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1038\/nrendo.2013.193","article-title":"Diagnosis and management of graves disease: a global overview","volume":"9","author":"Bartalena,","year":"2013","journal-title":"Nat. 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Nuclear Med."},{"issue":"6","key":"R8-52-20260325","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1089\/thy.2010.0343","article-title":"First reported case of unilateral Graves' disease in the left lobe of a bilobar thyroid gland","volume":"21","author":"Chen,","year":"2011","journal-title":"Thyroid"},{"issue":"2","key":"R9-52-20260325","doi-asserted-by":"crossref","first-page":"122","DOI":"10.4103\/ijnm.IJNM_186_19","article-title":"Retrospective study of Tc-99m thyroid scan in patients with Graves' disease: is there significant difference in lobar activity?","volume":"35","author":"Wagieh,","year":"2020","journal-title":"Indian J. Nucl. Med."},{"issue":"1","key":"R10-52-20260325","doi-asserted-by":"crossref","first-page":"28","DOI":"10.7326\/0003-4819-93-1-28","article-title":"Clinical significance of assay of thyroid-stimulating antibody in Graves' disease","volume":"93","author":"Zakarija,","year":"1980","journal-title":"Ann. Intern. 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