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Thyroid-hormone concentrations after radioiodine therapy for hyperthyroidism

Journal Article · · J. Nucl. Med.; (United States)
OSTI ID:6252352

Fourteen hyperthyroid patients (11 men, three women), ages 28 to 66, were followed with serial measurements of serum thyroid hormone levels for 1 mo after therapy with I-131. Twelve patients had diffuse toxic goiters (25 to 70 g in size); two patients had multinodular glands (40 to 100 g). The patients were taking no antithyroid medications; ten patients were treated with propranolol. All patients received the equivalent of 5000 rad, except the two with multinodular glands, who received larger doses. There was no consistent pattern of serum T/sub 4/ and T/sub 3/ levels after the I-131 therapy. For the entire group, there was no significant increase of the mean serum hormone concentration. One group (three patients) had a mean T/sub 4/ increase of 28% and a T/sub 3/ increase of 91% above baseline at Days 10--11. Seven patients had minimal increases of hormone levels at Days 2--3, and a third group (four paients) had no increase of thyroid hormones after I-131 therapy. The patients with no rise in hormone concentrations had smaller goiters than the other groups. There was no correlation of the dose of radioactive iodine, or of the initial hormone concentration, with the rises or declines of T/sub 4/ and T/sub 3/ levels after I-131 therapy. Radioiodine therapy caused no significant increase of serum T/sub 4/ and T/sub 3/ concentrations in the majority of patients.

Research Organization:
Univ. of California, Los Angeles
OSTI ID:
6252352
Journal Information:
J. Nucl. Med.; (United States), Journal Name: J. Nucl. Med.; (United States) Vol. 20:5; ISSN JNMEA
Country of Publication:
United States
Language:
English

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