[Management of hyperthyroidism with radioactive iodine in end-stage renal disease patients undergoing dialysis].
Although, the abnormal thyroid hormone production and metabolism are relatively common, hyperthyroidism is a very unusual condition. The diagnosis may be difficult because of similar signs and symptoms as in uremia. To our knowledge till now only 18 well documented cases have been reported, 8 of them successfully treated with radioactive iodine. We report here the results of radioiodine treatment, performed in 6 patients, 5 with toxic multinodular goiter and one with Graves' disease. Three patients were initially treated with antithyroid drugs, but they were discontinued 20 days before radioiodine treatment. A progressive fall of the thyroid function tests was observed. Of 6 treated patients 3 became euthyroid and 3 developed hypothyroidism.
Niemczyk
Stanisław
S
Oddział Wewnetrzny ze Stacja Dializ Szpitala w Wołominie. s.niemczyk@gazeta.pl
Matuszkiewicz-Rowińska
Joanna
J
Stopiński
Marek
M
Grochowski
Janusz
J
Sitkowska-Kurzec
Zofia
Z
Przedlacki
Jerzy
J
Chojnowski
Krzysztof
K
Królicki
Leszek
L
D000368:Aged; D005260:Female; D006111:Graves Disease / Q000150:complications / Q000188:drug therapy; D006801:Humans; D006980:Hyperthyroidism / Q000150:complications* / Q000188:drug therapy*; D007457:Iodine Radioisotopes / Q000627:therapeutic use*; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D013972:Thyrotropin / Q000097:blood
D007457:Iodine Radioisotopes; D013972:Thyrotropin