Natural course of Graves' disease - Table 5
Acute phase
21 months later

Right lobe, horizontal view

Right lobe, color Doppler mode

Left lobe, horizontal view

Left lobe, color Doppler mode

Compare the 2 series of pictures.

At the time of the discontinuation of methimazole therapy, the size of the thyroid, the echogenicity and the vascularization have normalized.

The persistence of hypoechogenicity and/or increased vascularization are predictors of relapse of hyperthyroidism. There is a very strong correlation between the TSH-receptor antibody test and the former sonographic features regarding their prognostic value.

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