a 36 year old man with a diffuse goitre , signs of mild hypothyroidism , strikingly low levels of t4 ( 0.9 micrograms/dl ) and t3 ( 24 ng/dl ) , elevated tsh ( 140 microu/ml ) and elevated microsomal haemagglutination antibody ( mcha , 1:409 600 ) , subsequently became non-goitrous and euthyroid with a decreased titre of antimicrosomal antibody without any medication .
C0342114
diffuse goitre
C0018021
goitrous