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Hyperthyroidism and thyrotoxicosis: Difference between revisions
Hyperthyroidism and thyrotoxicosis (view source)
Revision as of 11:44, 21 November 2023
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== Treatment == | == Treatment == | ||
Specific treatment depends on the underlying etiology, but supportive treatment is also available. [[Beta blocker|Beta blockers]] can be used, of which propranolol is the first choice as it inhibits conversion of T3 to T4. Benzodiazepines may also be used in very short courses for anxiety. | Specific treatment depends on the underlying etiology, but supportive treatment is also available. [[Beta blocker|Beta blockers]] can be used, of which propranolol is the first choice as it inhibits conversion of T3 to T4. Benzodiazepines may also be used in very short courses for anxiety. | ||
=== Surgical treatment of hyperthyroidism === | |||
Surgery may be used for both Graves disease, toxic adenoma, and toxic multinodular goitre. The main treatment of hyperthyroidism nowadays consists of antithyroid drugs and radioactive iodine ablation. However, there remain some indications for [[thyroid surgery]] in case of hyperthyroidism: | |||
* Very large goitre (> 80 g) | |||
* Goitre causing airway or oesophageal obstruction | |||
* If malignancy cannot be ruled out | |||
* Hyperthyroidism with moderate to severe Graves ophthalmopathy | |||
* Contraindications to antithyroid drugs and radioiodine | |||
* Hyperthyroidism refractory to antithyroid drugs and radioiodine | |||
== Complications == | == Complications == | ||
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* [[Osteoporosis]] | * [[Osteoporosis]] | ||
[[Category:Endocrinology]] | <noinclude>[[Category:Endocrinology]]</noinclude> | ||