Differential Diagnosis and Appropriate Treatment of Four Thyrotoxic Patients with Graves' Disease Required to Take Amiodarone Due to Life-threatening Arrhythmia

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概要

• 論文の詳細を見る

• We report the treatment of four thyrotoxic patients. Two were cases of type I amiodarone-induced thyrotoxicosis (AIT) treated with methimazole. The third Graves' disease patient, who became hypothyroid 25 years after subtotal thyroidectomy, developed type II AIT. Furthermore, one case with heart failure and ventricular tachycardia, who developed an adverse reaction to antithyroid agents and was prescribed amiodarone, underwent total thyroidectomy. The clinical course was uneventful, and the patient is doing well. Since amiodarone contains a large amount of iodine, it is frequently difficult to make a differential diagnosis. Surgical treatment of Graves' disease patients is recommended when immediate control of hyperthyroidism and heart failure is required.

• 社団法人 日本内科学会の論文

著者

• Takano Kazue

  Department Of Endocrinology Clinical Institute Of Endocrinology Tokyo Women's Medical Universit

• Obara Takao

  Department Of Endocrine Surgery Tokyo Women's Medical College

• Shiga Tsuyoshi

  Department Of Cardiology The Heart Institute Of Japan Tokyo Women's Medical University

• Sato Kanji

  Department Of Medicine Institute Of Clinical Endocrinology Tokyo Women's Medical College

• Yamada Emiko

  Kanaji Thyroid Hospital

• Omi Yoko

  Department Of Endocrine Surgery Tokyo Women's Medical University

• Kasanuki Hiroshi

  Department Of Cardiology The Heart Institute Of Japan

• KODAMA HITOMI

  Department of Endocrine Surgery, Tokyo Women's Medical University

• Seki Toshiro

  Department Of Cardiology Tokyo Women's Medical University

• TAKANO KAZUE

  Department of Medicine, Institute of Clinical Endocrinology, Tokyo Women's Medical University

• OBARA TAKAO

  Department of Surgery, Institute of Clinical Endocrinology, Tokyo Women's Medical University

• Yamazaki Kazuko

  Kanaji Hospital

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