[Value of total thyroidectomy in amiodarone-induced hyperthyroidism].
The potential severity of amiodarone-induced hyperthyroidism, particularly in severe cardiopathy cases, necessitates a regular clinic and biologic thyroid control. The break in amiodarone and a medical treatment (synthetic antithyroid drugs, steroids, perchlorate of potassium) can be ineffective. The authors report the case of a patient with an right ventricle arythmogenic dysplasia, without thyroid history, who came back 3 years after the introducing of amiodarone with major hyperthyroidism. After failure of medical treatment, a total thyroidectomy permitted to quickly stop hyperthyroidism and to early reintroduce amiodarone. Surgery seems to be the radical treatment when hyperthyroidism doesn't respond to the medical treatment and when the cardiopathy requires amiodarone.
Dariel
M P
MP
Service d'ORL et de CCF, Service de Médecine Aéronautique, Hôpital d'Instruction des Armées Percy. 101, Avenue Henri Barbusse. BP 406, 92141 Clamart Cedex.
Hervé
S
S
Chollet
O
O
Leyral
H
H
Perrier
E
E
Carlioz
R
R
Gouteyron
J F
JF
D000328:Adult; D000638:Amiodarone / Q000009:adverse effects*; D000889:Anti-Arrhythmia Agents / Q000009:adverse effects*; D019571:Arrhythmogenic Right Ventricular Dysplasia / Q000188:drug therapy; D004630:Emergencies; D005500:Follow-Up Studies; D006801:Humans; D006980:Hyperthyroidism / Q000139:chemically induced* / Q000601:surgery*; D008297:Male; D013965:Thyroidectomy; D013997:Time Factors
D000889:Anti-Arrhythmia Agents; D000638:Amiodarone