The Unusual Late-Onset Graves’ Disease following Hashimoto’s Related Hypothyroidism: A Case Report and Literature Review

Table 1

The patient’s laboratory test results.

Test (normal range/unit)	January 2020	November 2019	September 2019	February 2019	November 2017
WBC (4–11 × 10 ^ 3/uL)		6.8	7.1	7.4	8.5
RBC (2.8–4.8 × 10 ^ 6/uL)		4.8	4.2	4.4	4.3
Hb (12–15 gm/dL)		13.8	12.4	13.1	13.1
Platelets (150–400 × 10 ^ 3/uL)		293	325	396	263
Urea (2.7–8 mmol/L)		3.5	3.8	3.4	3.6
Creatinine (44–8 umol/L)		45	48	55	64
Sodium (135–145 mmol/L)		145	143	143	141
Potassium (mmol/L 3.5–5.1)		3.3	3.8	4.7	3.7
Glucose (3.3–5.5 mmol/L)		4.6	5.5	5.8	4.4
ALT (0–33 U/L)		30	34	29	9
AST (0–33 U/L)		26	21	18	14
TSH (0.3–4.2 IU/L)	2.39	<0.01	0.01	<0.01	1.64
Free T3 (3.7–6.4 pmol/L)		7.4	8.3	10.8
Free T4 (11.6–21.9 pmol/L)	12	23.3	26.4	37.5	19.79