Radioiodine Therapy for Hyperthyroidism  

Oleh:

Ross, Douglas S.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 364 no. 06 (Feb. 2011), page 542-550.
Topik: CARDIOVASCULAR DISEASES; Hyperthyroidism; Thyrotropin

Ketersediaan

Perpustakaan FK Nomor Panggil: N08.K.2011.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

A 37-year-old woman presented with palpitations, tremulousness, shortness ofbreath, and a 9-kg (20-lb)weight loss, and received a diagnosis of Graves' hyperthyroidism. At the time of diagnosis, she had mild proptosis, no diplopia, and no signs of eye inflammation. Her thyroid gland was two times the normal size and nonnodular. Her initial serum triiodothyronine (T3) concentration was 655 ng per deciliter (9.2 nmol per liter), and her free thyroxine (T4) concentration was 5.7 ng per deciliter (73 pmol per liter). She was treated with methimazole for a year, and her thyroid tests became normal. She discontinued the methimazole 10 weeks before the current presentation with recurrent palpitations and tremulousness. Her serum T3 concentration is 345 ng per deciliter (5.4 nmol per liter), and her free T4 concentration is 2.8 ng per deciliter (36.0 pmol per liter). The patient does not smoke. She has a 3-year-old daughter and wishes to become pregnant again. Her endocrinologist recommends radioiodine ablation of her thyroid.

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