Hypocalcemia secondary to hypoparathyroidism is a rare cause of congestive heart failure. However, its early recognition and treatment lead to significant improvement in cardiac function. We report a middle-aged woman presenting with symptoms of heart failure with a serum calcium level of 3.7 mg/dl and a serum inorganic phosphate level of 17.6 mg/dl 22 years after subtotal thyroidectomy. Beside...

BACKGROUND Many hypothyroid patients are not tolerant and not satisfied with levothyroxine (LT4). Older studies used large doses of both carbimazole and LT4 for Hashimoto's thyroiditis (HT), because Graves' disease (GD) and HT were considered as very closely related syndromes produced by thyroid autoimmunity. OBJECTIVE The aim of the study was to determine the outcome after adding small doses...

Objective. The present study reviews a series of patients who underwent thyroid surgery in Eldoret, Kenya, to demonstrate the feasibility of conducting long-term (.1 year) outcomes research in a resource-limited setting, impact on the quality of life of the recipient population, and inform future humanitarian collaborations. Study Design. Case series with chart review. Setting. Tertiary public ...

Gain of function mutations in the TSH receptor (TSHR) have been identified as the molecular basis for congenital and acquired forms of autonomous thyroid function. Herein, we report the molecular characterization of a case of severe congenital hyperthyroidism with a history of hyperthyroidism in the paternal aunt and the paternal grandmother, who were both found to be heterozygous for a mutatio...

THE CONCEPTION that treatment of Graves' disease (i) is primarily surgical, is widespread despite the fact that American as well as European literature contains numerous reports of satisfactory results with non'surgical treatment in selected cases. It is undoubtedly true that since Plummer and Boothby (2, 3, 4) inaugurated routine preoperative iodine preparation, the prognosis of surgical pro' ...

OBJECTIVE To evaluate the necessity and benefits of the use of drains and their limitations in thyroidectomy and assess their relationship with cost of surgery and hospital stay. METHODS We conducted a prospective randomised study on 67 patients divided into two groups. A consisted of 35 patients with drain and B, 32 patients without drain between January 2005 and June 2007. All had subtotal ...

Many suggest that clinical examination is the best tool to detect nodules of thyroid gland. They also ultrasound gland should be used only monitor any changes in size nodule thyroid. To study swellings Thyroid with an emphasis on multinodular goitre. The prospective, involving all patients swelling. All swelling cases were subjected FNAC. type thyroidectomy was based and whether neoplastic or n...