Context : Graves’ disease is the commonest cause of hyperthyroidism. Other common causes include toxic multinodular goiter, thyroiditis etc. Clinical manifestations of thyrotoxicosis in cases of thyroiditis and early or mild Graves' disease may be difficult to differentiate. Although persistence of symptoms and signs in Graves' disease can distinguish it from other etiologies, it is prudent to distinguish between various etiologies of hyperthyroidism because of disease- specific management