Details

Autor(en) / Beteiligte

• Weber, C
• Scholz, G H
• Lamesch, P
• Paschke, R

Titel

Thyroidectomy in iodine induced thyrotoxic storm

Ist Teil von

• Experimental and clinical endocrinology & diabetes, 1999, Vol.107 (7), p.468-472

Ort / Verlag

Germany

Erscheinungsjahr

1999

Quelle

MEDLINE

Beschreibungen/Notizen

• Between January 1996 and September 1997 we treated 4 patients with iodine-induced thyrotoxic storm (2 females, 2 men; age 54-77 years). Iodine contamination was due to iodine-containing contrast media in 3 patients and iodine-containing disinfectant in 1 patient. Thyroid storm with tachycardia, hypertension, sweating, tremor, weight loss and coma occured 3-10 weeks after iodine contamination. These symptoms were accompanied by raised fT4- and fT3-values. All 4 patients were initially treated with antithyroid drugs for 7 days, whereas 2 patients with coronary artery disease, demonstrated by coronary angio-graphy, were treated with antithyroid drugs for 2 weeks. Because of unsuccessful antithyroid drug treatment, all 4 patients underwent subtotal thyroidectomy. There were no perioperative complications. We conclude that early thyroidectomy is the appropriate treatment for iodine-induced thyrotoxicosis even in patients with severe accompanying diseases.