A 45-year-old female was evaluated for fatigue, lethargy, and a 25-pound weight gain since her

last physical. Her face was slightly puffy, and her neck was slightly swollen. Laboratory results
were as follows

What is the most likely diagnosis?
Complete blood count (CBC)—within normal limits
Urinalysis—within normal limits
Renal function tests (BUN and creatinine)—within normal limits
Electrolytes and glucose—within normal limits
Antinuclear antibody (ANA )—negative
Antithyroid peroxidase antibody (anti-TPO)—negative
Antithyroglobulin antibody (anti-TG)—positive
TSH-receptor antibody (TRAb)—negative
Total thyroxine hormone (T4 )—low
Thyroid stimulating hormone (TSH)—high
A) Hashimoto's thyroiditis
B) Goodpasture's syndrome
C) Type II diabetes mellitus
D) Graves' disease
E) Systemic lupus erythematosus (SLE)


A

Health & Biomechanics

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