Kourime M, et al. - Researchers investigated the outcomes of an unselected Scottish population of children and adolescents with thyrotoxicosis in relation to aetiology, duration of treatment, achievement of spontaneous remission and adherence both with a short-term antithyroid drug (ATD) and long-term thyroxine replacement. Since the prognosis for remission was better, Hashimoto’s thyroiditis should be distinguished from Graves’ disease (GD) at diagnosis. It was noted that remission rates for Graves’ disease were low, time to remission variable and adherence with both ATD and thyroxine replacement often problematic. The giving of long-term ATD rather than a fixed course of treatment in GD and meticulous and realistic counselling of families from the time of diagnosis onwards was recommended.