Document Detail


Five patients with iodine-induced hyperthyroidism.
MedLine Citation:
PMID:  6235747     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Iodine-induced hyperthyroidism has been frequently described when iodine is introduced into an iodine-deficient area. However, it may also occur in patients with and without previous thyroid disease residing in iodine-sufficient areas. Five patients with iodine-induced hyperthyroidism seen in a 12-month period are described. All were exposed to iodine in the form of commonly used drugs (Betadine, Iodo-Niacin, amiodarone, and radiographic contrast dyes). The cause of iodine-induced hyperthyroidism is unclear, but it is probably more common in patients with goiters containing previously existing areas of autonomous function or iodine-poor thyroglobulin. Iodine-induced hyperthyroidism usually abates after iodine withdrawal in patients with multinodular goiters or normal thyroid glands. The hyperthyroidism is usually treated with beta-blockers and antithyroid thionamide drugs, although reinstitution of iodine to block thyroid hormone release or corticosteroids occasionally may be necessary. Iodine-containing drugs should be given with caution to patients with underlying thyroid disease.
Authors:
R Rajatanavin; M Safran; W A Stoller; J P Mordes; L E Braverman
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of medicine     Volume:  77     ISSN:  0002-9343     ISO Abbreviation:  Am. J. Med.     Publication Date:  1984 Aug 
Date Detail:
Created Date:  1984-09-07     Completed Date:  1984-09-07     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0267200     Medline TA:  Am J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  378-84     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Amiodarone / adverse effects
Chlorobutanol / adverse effects
Coloring Agents / adverse effects
Coronary Artery Bypass
Drug Combinations / adverse effects
Female
Goiter, Nodular / drug therapy
Graves Disease / drug therapy
Humans
Hyperthyroidism / chemically induced*,  drug therapy,  physiopathology
Iodine / adverse effects*
Iodine Radioisotopes / therapeutic use
Male
Middle Aged
Niacinamide / adverse effects
Postoperative Complications
Povidone-Iodine / adverse effects
Propylthiouracil / therapeutic use
Radiographic Image Enhancement / adverse effects
Sodium Iodide / adverse effects
Thyroid Hormones / analysis
Grant Support
ID/Acronym/Agency:
AM-07302/AM/NIADDK NIH HHS; AM-19819/AM/NIADDK NIH HHS
Chemical
Reg. No./Substance:
0/Coloring Agents; 0/Drug Combinations; 0/Iodine Radioisotopes; 0/Thyroid Hormones; 0/iodo-niacin; 1951-25-3/Amiodarone; 25655-41-8/Povidone-Iodine; 51-52-5/Propylthiouracil; 57-15-8/Chlorobutanol; 7553-56-2/Iodine; 7681-82-5/Sodium Iodide; 98-92-0/Niacinamide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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