Unmarked Case of Amiodarone-Induced Thyrotoxicosis
Abstract
Patient I. had marked complaints, which were typical for thyrotoxicosis syndrome at September 2009. As a result based on depressed level of TSH and increased value of free T4 Graves` disease have been diagnosed, and Thiamazole have been prescribed, but patient wasn`t relieved. In Rostov-on-Don Endocrinology Centr because of there had been no effect from treatment, the diagnosis was call into question. Differential diagnostics thyrotoxicosis syndrome had been led and destructive tryroiditis have been revealed. Also it was found out that patient was taking Cordarone during 1,5 years, which contains a high concentration of iodine and results in development of several thyroid gland`s pathology. Thus, instead of radioiodine therapy patient needs to take glucocorticoids.
About the Authors
N. I. VolkovaRussian Federation
Department of Internal Medicine № 3
29 Nakhichevansky st., Rostov-on-Don, 344022
I. U. Davidenko
Russian Federation
27, Bogatyanovsky str., Rostov-on-Don, 344006
References
1. Дедов И.И., Г.А. Мельниченко, Фадеев В.В. Эндокринология: Учебник для вузов. – М., 2008. – Т.1. С. 91–170.
2. Braverman L. Diseases of the thyroid // Humana Press, 2003.
3. K-C Loh. Amiodarone-induced thyroid disorders: a clinical review // Postgrad Med. F. – 2000. – N 76. – P. 133-140.
4. Гринева Е.Н., Бабенко А.Ю., Выговский А.Б. и др. Кордарон-индуциорванный тиреотоксикоз: трудности диагностики и врачебной практики // Проблемы эндокринологии. – 2005. – Т. 51, № 4. – С. 18-22.
Review
For citations:
Volkova N.I., Davidenko I.U. Unmarked Case of Amiodarone-Induced Thyrotoxicosis. Medical Herald of the South of Russia. 2011;(3):62-64. (In Russ.)