Surgery in Refractory Amiodarone-Induced Thyrotoxicosis

Journal Title: Journal of Endocrinology and Diabetes - Year 2018, Vol 5, Issue 4

Abstract

Background: Thyroidectomy is a challenging treatment for refractory amiodarone induced thyrotoxicosis (AIT). Objectives: The authors’ aim in this article is to conduct a systematic review of the currently available literature regarding thyroidectomy for the treatment of refractory AIT. Methods: The authors’ systematic review yielded 14 studies encompassing 39 patients. Results: All patients in this study developed thyrotoxicosis on amiodarone especially those with cardiac fragility and benefit from thyroidectomy to control all the symptoms of the hyperthyroid state without surgical risk or consequence on the cardiac status. Conclusion: Thyroidectomy remains the definitive management of refractory AIT and should be instituted sooner rather than later in a patient suffering from this condition.

Authors and Affiliations

Carine Ghassan Richa, Mohamad Souheil El Rawas

Keywords

Related Articles

Long Term Medical Treatment of Congenital Hyperinsulinemic Hypoglycemia

Background: Hyperinsulinism is the most common cause of recurrent hypoglycemia in early infancy. Surgical treatment with partial/near total pancreatectomy has been the mainstay of treatment but does not result in complet...

Serum Levels of Syndecan-1, Interleukin-6 and C-Reactive Protein in Statin-Treated Patients with Type 2 Diabetes Mellitus

This study was undertaken to evaluate the alterations of serum levels of syndecan-1, lipids, interleukin-6 and C-reactive protein in type 2 diabetic patients and to assess the possible effect of statins on syndecan-1 lev...

Several Types of Somatic Mutations Induce Autonomous Production of Aldosterone in Primary Aldosteronism

It is well known that primary aldosteronism (PA) is the most common form of secondary hypertension, and also that aldosterone-producing adenoma (APA) and bilateral hyperaldosteronism (idiopathic hyperaldosteronism: IHA)...

Quality of Life of Patients Followed for Thyroid Cancer: An Element Not to Overlook

The quality of life has attracted great interest in recent years, primarily in patients followed for cancer. Differentiated thyroid cancer, despite its good prognosis, is responsible for a significant deterioration in t...

Polycystic Ovary Syndrome: Explaining the Gynecological Aspects and Treatment Options to Patients

Polycystic Ovary Syndrome (PCOS) is one of the most prevalent conditions leading to reproductive and metabolic health concerns for women. The apparently disparate consequences of this disorder ranging from menstrual dysf...

Download PDF file
  • EP ID EP413520
  • DOI 10.15226/2374-6890/5/4/001110
  • Views 126
  • Downloads 0

How To Cite

Carine Ghassan Richa, Mohamad Souheil El Rawas (2018). Surgery in Refractory Amiodarone-Induced Thyrotoxicosis. Journal of Endocrinology and Diabetes, 5(4), 1-9. https://www.europub.co.uk/articles/-A-413520