title: Severe duodenal hemorrhage induced by Lugol's solution administered for thyroid crisis treatment.
abstract: Lugol's solution is an iodinated agent used for treating thyroid crisis. It is primarily used in diagnostic tests for esophageal diseases. However, Lugol's solution can cause local mucosal injury and hemorrhage. We report, for the first time, a case of 34-year-old man who exhibited severe duodenal hemorrhage induced by Lugol's solution that was used to treat thyroid crisis. The quantity of Lugol's solution used for treating thyroid crisis is much higher than that used for mucosal disease investigation. Clinical practitioners should be aware of gastrointestinal hemorrhage when using Lugol's solution for the treatment of thyroid crisis.
authors.affiliation: Department of Internal Medicine, Tokyo Metropolitan Bokutoh Hospital. hkinoshita-tky@umin.ac.jp
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kinoshita
authors.forename: Mutsuko
authors.initials: M
authors.lastname: Yasuda
authors.forename: Youhei
authors.initials: Y
authors.lastname: Furumoto
authors.forename: Naoko
authors.initials: N
authors.lastname: Watanabe
authors.forename: Takao
authors.initials: T
authors.lastname: Horiuchi
authors.forename: Minekazu
authors.initials: M
authors.lastname: Murayama
authors.forename: Mari
authors.initials: M
authors.lastname: Kitamura
authors.forename: Shingo
authors.initials: S
authors.lastname: Kaneko
authors.forename: Seiji
authors.initials: S
authors.lastname: Inoshita
authors.forename: Yasuki
authors.initials: Y
authors.lastname: Maruyama
authors.forename: Matsuhiko
authors.initials: M
authors.lastname: Suenaga
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Fujita
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Fujiki
authors.forename: Fumiatsu
authors.initials: F
authors.lastname: Yakushiji
mesh_terms: D000328:Adult; D004378:Duodenal Diseases / Q000139:chemically induced* / Q000175:diagnosis; D006471:Gastrointestinal Hemorrhage / Q000139:chemically induced* / Q000175:diagnosis; D006801:Humans; D007454:Iodides / Q000008:administration & dosage / Q000009:adverse effects*; D008297:Male; D013958:Thyroid Crisis / Q000175:diagnosis / Q000188:drug therapy*
chemical_list: D007454:Iodides; C010389:Lugol's solution