Both Graves' disease and Toxic Nodules cause thyrotoxicosis, albeit by different mechanisms. Their coexistence is called Marine-Lenhart syndrome, the prevalence of which has been reported 2.7-4.1%. In many cases with Marine Lenhart syndrome Graves' disease is accompanied by multiple hyperfunctioning nodules, although it is accompanied by a solitary hyperfunctioning nodule in rare cases. We here in reported a rare presentation of Marine Lenhart syndrome and its treatment.
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