A 32-year-old woman was presented with the complaints of nervousness, mood swings, weakness, and palpitations with exertion for the past 6 months. She also noticed excessive sweating. She used oral contraceptives and her menstrual periods were regular. Physical examination Pulse 92/minute and BP 130/60. She appeared anxious, with a smooth, warm, and moist skin, a fine tremor, a bounding cardiac apical impulse, and she couldn't rise from a deep knee bend without aid. Her thyroid was diffusely enlarged, soft, mobile, without nodularity and there was no lymphadenopathy.

Her eyes were not prominent (proptotic) and she had no focal skin thickening. Laboratory studies Serum T4=15.6 ug/dl Serum T3=210 ng/dl. What could be the most likely cause of this patient's illness? What are the treatment options? *This case is from Docplexus Editorial Team for educative purpose only