Document Detail

Recurrent transient thyrotoxicosis in multinodular goitre.
MedLine Citation:
PMID:  2349169     Owner:  NLM     Status:  MEDLINE    
A patient initially presented with an autonomously functioning right thyroid nodule and transient hyperthyroidism which lasted for a few months. Several months after resolution of thyrotoxicosis, the patient had a recurrent episode of hyperthyroidism and was found to have a left hot nodule. The right hyperfunctioning nodule had become cold on scintigraphy, and its aspiration revealed haemorrhagic fluid suggesting haemorrhagic infarction as the mechanism of resolution of the first episode of hyperthyroidism. Again following resolution of the second episode of hyperthyroidism, the left hot nodule also became hypofunctioning on scintigraphy indicating that the spontaneous restoration to euthyroidism was secondary to infarction. Recurrent hyperthyroidism and resolution due to nodular infarction in a patient with a nodular goitre may mimic the more common causes of transient thyrotoxicosis and should be considered in the differential diagnosis of goitrous hyperthyroidism.
R Arem
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Postgraduate medical journal     Volume:  66     ISSN:  0032-5473     ISO Abbreviation:  Postgrad Med J     Publication Date:  1990 Jan 
Date Detail:
Created Date:  1990-07-12     Completed Date:  1990-07-12     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0234135     Medline TA:  Postgrad Med J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  54-6     Citation Subset:  IM    
Department of Medicine, Baylor College of Medicine, Houston, Texas 77030.
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MeSH Terms
Goiter, Nodular / complications*,  radionuclide imaging
Infarction / etiology
Thyroid Gland / blood supply,  radionuclide imaging
Thyrotoxicosis / etiology*,  radionuclide imaging

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