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Tenn Med ; 97(9): 408-10, 2004 Sep.
Article in English | MEDLINE | ID: mdl-15497570

ABSTRACT

Amiodarone use in the United States is increasing including a role in advanced cardiac life support protocols. There has been a significant increase in hypothyroidism, destructive thyroiditis (type II), and iodine-induced thyrotoxicosis (type I) with amiodarone. Preexisting thyroid disease and status of iodine intake can determine the nature of iodine-induced thyroid disease. Treating amiodarone-induced thyrotoxicosis (AIT) may include traditional antithyroid agents, glucocorticoids, and surgery. Usually, it is assumed the radioactive iodine uptake (RAIU) will be low, and this choice as a treatment modality is excluded at the initial visit. We report a satisfactory outcome in a patient with AIT using radioactive iodine. The role of radioactive iodine in treating AIT is reviewed


Subject(s)
Amiodarone/adverse effects , Iodine Radioisotopes/therapeutic use , Thyrotoxicosis/chemically induced , Thyrotoxicosis/radiotherapy , Aged , Amiodarone/therapeutic use , Follow-Up Studies , Humans , Male , Risk Assessment , Severity of Illness Index , Thyroid Function Tests , Treatment Outcome
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