title: [Rare side effects in management of hyperthyroidism. Case report].
abstract: The authors present the case history of a patient suffering from hyperthyroidism. The diagnostic procedures revealed the presence of propylthiouracyl induced vasculitis with renal involvement, that recovered completely after the withdrawal of propylthiouracyl and corticosteroid treatment. Thereafter, the patient was treated with thiamasol, that caused agranulocytosis with fever. After transient litium carbonate therapy a succesful thyreoidectomy was performed. Cumulative serious side effects of antithyroid drugs are rare. This case highlights some of the challenges and complications encountered in the management of hyperthyroidism.
authors.affiliation: Belgyógyászati Osztály, Zala Megyei Kórház Zalaegerszeg.
authors.forename: Gábor
authors.initials: G
authors.lastname: Sohár
authors.affiliation: Belgyógyászati Osztály, Zala Megyei Kórház Zalaegerszeg.
authors.forename: Mónika
authors.initials: M
authors.lastname: Kovács
authors.affiliation: Belgyógyászati Osztály, Zala Megyei Kórház Zalaegerszeg.
authors.forename: Andrea
authors.initials: A
authors.lastname: Györkös
authors.affiliation: Belgyógyászati Osztály, Zala Megyei Kórház Zalaegerszeg.
authors.forename: Beáta
authors.initials: B
authors.lastname: Gasztonyi
mesh_terms: D000328:Adult; D013956:Antithyroid Agents / Q000008:administration & dosage* / Q000009:adverse effects*; D064147:Febrile Neutropenia / Q000139:chemically induced; D005260:Female; D006801:Humans; D006980:Hyperthyroidism / Q000175:diagnosis / Q000188:drug therapy* / Q000601:surgery*; D008713:Methimazole / Q000008:administration & dosage / Q000009:adverse effects; D011441:Propylthiouracil / Q000008:administration & dosage / Q000009:adverse effects; D013965:Thyroidectomy; D014657:Vasculitis / Q000139:chemically induced
chemical_list: D013956:Antithyroid Agents; D008713:Methimazole; D011441:Propylthiouracil
keywords: agranulocytosis; hyperthyreosis; vasculitis