False about Factitious thyrotoxicosis?
Seen in nurses
Features of thyrotoxicosis
Radionuclide uptake is high
All are true
In factitious illnesses, the patient consciously and voluntarily produces physical symptoms of illness. Diagnosis of Graves' disease is straightforward in a patient with biochemically confirmed thyrotoxicosis, diffuse goiter on palpation, ophthalmopathy, and often a personal or family history of autoimmune disorders. For patients with thyrotoxicosis who lack these features, the diagnosis is generally established by a radionuclide (99mTc, 123I, or 131I) scan and uptake of the thyroid, which will distinguish the diffuse, high uptake of Graves' disease from destructive thyroiditis, ectopic thyroid tissue, and factitious thyrotoxicosis.Ref: Harrison&;s Principles of Internal Medicine; 19th edition; Chapter 405 Disorders of the Thyroid Gland; Page no: 2295
C.V.S