Management of hyper and hypo thyroid conditions
In hyperthyroidism, the primary objective of therapy is to reduce secretion of thyroid hormone, which can be accomplished in various ways. The stimulus to hypersecretion can be removed in some causes of hyperthyroidism; in others, hormone synthesis and release can be inhibited by drugs such as thioamides, adrenergic blocking agents, or possibly lithium or glucocorticoids. Radioactive iodine is indicated for primary therapy of uncomplicated hyperthyroidism due to Graves' disease in persons over 30 years of age (myxedema may be a complication) and for treatment of autonomous thyroid adenoma in patients who are not suitable candidates for surgery. Surgical ablation is preferred for some causes of hyperthyroidism but may induce postoperative hypothyroidism. Hypothyroidism due to thyroid failure usually presents few therapeutic difficulties and can be managed simply by long-term hormone replacement. Before hormone replacement is prescribed for secondary or tertiary hypothyroidism, the other pituitary functions should be assessed.
- Research Organization:
- Ochsner Clinic, New Orleans, LA
- OSTI ID:
- 5403476
- Journal Information:
- Postgrad. Med.; (United States), Vol. 71:3
- Country of Publication:
- United States
- Language:
- English
Similar Records
Practical management of hyperthyroidism
Radioactive iodine therapy: Effect on functioning metastases of adenocarcinoma of the thyroid
Related Subjects
HYPERTHYROIDISM
PATHOLOGY
RADIOTHERAPY
HYPOTHYROIDISM
ADULTS
AMIDES
GLUCOCORTICOIDS
IODINE ISOTOPES
SECRETION
THYROID
THYROID HORMONES
ADRENAL HORMONES
AGE GROUPS
BODY
CORTICOSTEROIDS
DISEASES
ENDOCRINE DISEASES
ENDOCRINE GLANDS
GLANDS
HORMONES
HYDROXY COMPOUNDS
ISOTOPES
KETONES
MEDICINE
NUCLEAR MEDICINE
ORGANIC COMPOUNDS
ORGANIC NITROGEN COMPOUNDS
ORGANS
PEPTIDE HORMONES
PREGNANES
RADIOLOGY
STEROID HORMONES
STEROIDS
THERAPY
550901* - Pathology- Tracer Techniques