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3174 Microbiology

During a clinic office visit, a 35-year-old male stockbroker shows signs of excessive nervousness and irritability and complains that the office is too hot. History and physical examination reveals the presence of a goiter and exophthalmia. Laboratory analysis of his blood reveals high antibody titers against the thyroid-stimulating hormone (TSH) receptor. Which of the following is the most likely diagnosis?

AGoodpasture syndrome
BGraves' disease
CHashimoto disease
DJuvenile-onset diabetes mellitus
Microbiology
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