Autoantibodies (against self) bind TSH receptors on thyroid cell membranes, mimicking action of TSH, overstimulating gland (hyperthyroidism); exopthalmia (protrusion of the eyes and goiter)
Deficiency of thyroid hormones due to iodine deficiency; because no thyroid hormones inhibit pituitary release of TSH, thyroid is overstimulated and enlarges but functions below normal (hypothyroidism)