Graves Disease Induced by Radioiodine Therapy for Toxic Nodular Goiter: A Case Report
نویسندگان
چکیده
Graves' disease (GD) may be observed as an infrequent adverse effect after radioiodine therapy (RAIT) for toxic thyroid adenoma (TA) and toxic multi nodular goiter (MNG). We present a case of a 55-year-old male with a toxic nodule who was treated with RAI. After therapy, the patient's serum free triiodothyronine (fT3) and free thyroxine (fT4) levels gradually increased. Antithyroid peroxidase (TPOAb), antithyroglobulin (TgAb) and TSH-receptor antibodies (TRAb) were also positive. Thyroid scintigraphy revealed diffuse intense uptake after four months of RAIT. Radiation-induced GD should be considered in patients with aggravated hyperthyroidism 3-4 months after therapy.
منابع مشابه
Hypothyroidism and Radioiodine Therapy
In hyperthyroidism three major treatment modalities are currently available: antithyroid drugs, radioiodine and surgery, each of which presents advantages and restrictions (Surk et al.,1990). RAIT is considered as the most comfortable and economical approach of hyperthyroidism treatment caused by Graves ́ disease or toxic nodular goiter. Such treatment is indicated in patients with/or without fu...
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