Primary hyperparathyroidism and acute pancreatitis
نویسندگان
چکیده
patients with amultinodular thyroid gland, autonomous nodules, or latent Graves-Basedow disease due to increased thyroid hormone production and release. Its incidence is 1.7%. Areas with adequate iodine intake have a low incidence of hyperthyroidism induced by excess iodine intake. Euthyroid patients with some prior episode of postpartum thyroiditis, type 2 amiodarone-induced thyrotoxicosis, or interferon-induced thyroid dysfunction are more susceptible to develop hyperthyroidism due to excess iodine intake (up to 20%), as are patients with multinodular thyroid, autonomous nodules, or diffuse goiter. In the latter, the prevalence ranges from 3.5% to 21% depending on iodine exposure. Iodine intake may set the course in patients with GravesBasedow disease, because a slight increase in dietary iodine results in a greater frequency of hyperthyroidism and a decreased efficacy of antithyroid treatment. In addition, in iodine-deficient areas, the response to antithyroid agents is better and lower doses are required for hormone control. It is therefore essential to consider the potential factors leading to excess iodine intake when faced with difficult to control Graves-Basedow disease (Table 2). In the case of our patient, the course of hyperthyroidism led us to decide upon a definitive treatment. The clinical condition of the patient and the course of events prevented us from detecting excess iodine intake before surgery or a potential improvement after the removal of povidone iodine, but a more satisfactory response to drug treatment could have been expected in the absence of excess iodine intake. References
منابع مشابه
Parathyroid Carcinoma Presenting as an Acute Pancreatitis
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