Iodine-induced thyrotoxicosis after ingestion of kelp-containing tea.
Complementary medication is en vogue and an increasing number of patients consume herbal medicine without reporting their use to physicians. We report a case of iodine-induced hyperthyroidism due to the ingestion of a kelp-containing tea. A 39-year-old woman with multinodular goiter presented with typical signs of hyperthyroidism, which was confirmed by endocrine tests. She was not exposed to iodinated radiocontrast media and did not take medications containing iodine, such as amiodarone. However, a detailed medical history revealed that she had been treated for a period of 4 weeks by a Chinese alternative practitioner with a herbal tea containing kelp because of her enlarged thyroid. The consumption of the tea was discontinued and an antithyroid drug therapy was initiated. Physicians should advise patients with underlying thyroid disease to avoid all complementary or alternative medications containing iodine.
Müssig
Karsten
K
Division of Endocrinology, Metabolism and Pathobiochemistry, Department of Internal Medicine, University Hospital of Tübingen, Germany. Karsten.Muessig@med.uni-tuebingen.de
Thamer
Claus
C
Bares
Roland
R
Lipp
Hans-Peter
HP
Häring
Hans-Ulrich
HU
Gallwitz
Baptist
B
D000328:Adult; D000529:Complementary Therapies; D005260:Female; D029001:Herbal Medicine; D006801:Humans; D006980:Hyperthyroidism / Q000000981:diagnostic imaging / Q000209:etiology; D007455:Iodine / Q000633:toxicity*; D044423:Kelp; D011877:Radionuclide Imaging; D013662:Tea; D013971:Thyrotoxicosis / Q000209:etiology*; D014463:Ultrasonography
D013662:Tea; D007455:Iodine