Graves' disease and atrial thrombus.

A 66-year-old woman was admitted to our endocrinology department with a chief complaint of dyspnea and lower leg edema. Vital signs were blood pressure 150/90 mmHg, pulse rate 138/min, respiration rate 20 breaths/min and body temperature 36.9°C. On physical examination, pitting edema was observed in both pretibial areas. Laboratory examination results were: free T4 99.13 (11.5–22.7) pmol/l, TSH below 0.01 (0.55–4.78) mIU/l, TSI 7.88 (∼1.75) IU/l and complete blood count (WBC–Hb–Platelet) were 3710/ul–8.8 g/dl–26 000/ul. Tc-99 m thyroid scan showed that there was an increased uptake in both thyroid lobes. We performed bone marrow aspiration with bone biopsy, and the results showed normocellular marrow. An electrocardiography showed atrial fibrillation (AF) with …