Choice of Therapy in Young Adults with Hyperthyroidism of Graves' Disease
- 1 June 1984
- journal article
- research article
- Published by American College of Physicians in Annals of Internal Medicine
- Vol. 100 (6), 891-893
- https://doi.org/10.7326/0003-4819-100-6-891
Abstract
Thydroidologists (54) were asked how they would treat each of 4 patients having moderate hyperthyroidism of Graves'' disease and a thyroid gland weighing 70 g (3-4 times normal). For a 19-yr-old woman, 67% of thyroidologists recommended an initial course of therapy with antithyroid drugs, usually for 1 yr; 24% favored radioiodine treatments; and 9%, surgery. Choices for treating a 19-yr-old man were similar. For a 29-yr-old man, 44% of thyroidologists preferred drug therapy; 50%, radioiodine; and 6%, surgery. For a 29-yr-old woman, choices were similar to those for the 29-yr-old man, except for a slight preference for drugs over radioiodine. If hyperthyroidism recurred after a 1st course of antithyroid drugs, the consultants favored radioiodine treatments and surgery about equally, except in the 29-yr-old man, in whom radioiodine was preferred. Considerable variation exists among experts in treating hyperthyroidism in young adults.Keywords
This publication has 2 references indexed in Scilit:
- Carbimazole and the Autoimmune Response in Graves' DiseaseNew England Journal of Medicine, 1980
- SPECTRUM OF THYROID FUNCTION IN PATIENTS REMAINING IN REMISSION AFTER ANTITHYROID DRUG THERAPY FOR THYROTOXICOSISThe Lancet, 1977