Question

A 25-year-old male patient complained of palpitations, sweating, and restlessness. He has a complaint of sweaty palms. Clinical findings are depicted in the image given below.

What is the diagnostic test done on this patient?

• A. Anti-thyroglobulin antibody
• B. Anti-thyroid peroxidase antibody
• C. Thyroid receptor antibody
• D. Elevated ultrasensitive thyrotropin levels

Answer 1

The Correct Option is C

The clinical presentation of the patient, which includes palpitations, sweating, restlessness, and sweaty palms, suggests a hyperthyroid state, commonly seen in conditions like Graves' disease. In order to confirm the suspicion of Graves' disease, the diagnostic test that should be done is the measurement of Thyroid Receptor Antibody levels.

Graves' disease is an autoimmune disorder characterized by the presence of autoantibodies against the thyroid-stimulating hormone receptor (TSHR), known as Thyroid Receptor Antibodies. These antibodies can mimic the action of thyroid-stimulating hormone (TSH), causing overproduction of thyroid hormones, which results in symptoms typical of hyperthyroidism.

Therefore, the appropriate diagnostic test for confirming the condition in this patient is the detection of Thyroid Receptor Antibody levels.