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Introduction Although antithyroid drugs (ATDs) and partial thyroidectomy have established the treatment modalities, radioiodine therapy has become the primary treatment option of hyperthyroidism in Graves' disease (1, 2) . A number of interrelated
Center for International Health, University of Bergen, Bergen, Norway
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Department of Microbiology, Innlandet Hospital Trust, Lillehammer, Norway
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Department of Clinical Science, University of Bergen, Bergen, Norway
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Department of Research, Innlandet Hospital Trust, Lillehammer, Norway
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criteria and indications for antithyroid drug treatments for Graves’ hyperthyroidism have remained essentially unchanged. A Norwegian government report from 1999 raised concerns regarding thyroid function in pregnancy and highlighted the need for data on
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). Table 2 Adverse effects of antithyroid drugs. Adverse effects that require the immediate cessation of thionamide treatment: 1) Agranulocytosis (<500/µL; 0.2–0.5% treated), aplastic anemia (even rarer) 2) Acute hepatitis (sporadic; mainly
Department of Clinical Medicine, Aalborg University, Aalborg, Denmark
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Department of Geriatrics, Aalborg University Hospital, Aalborg, Denmark
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, can be ascertained from the beginning of the 20th century with a main concern about adverse pregnancy outcomes in women suffering from severe, untreated hyperthyroidism ( 5 ). The use of antithyroid drugs (ATDs) for the treatment of hyperthyroidism
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Pediatric Endocrinology Unit, Endocrinology and Metabolism, Nuclear Medicine Laboratory, Pediatrics Department, Irmandade da Santa Casa de Misericórdia de São Paulo, 01221-020 São Paulo, Brazil
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countries, antithyroid drugs (ATDs) remain the first-line therapy (1, 2, 4, 5) , but they have several drawbacks, such as a high prevalence of side effects (20–30%), prolonged need for oral therapy, and low remission and high relapse rates during or after
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.34 ATD, TSS 1.91 582 2.53 90.18 0.077 6.57 9.53 − ATD, antithyroid drugs; BMI, body mass index; Dmax, maximum diameter; F, female; FT3, free triiodothyronine; FT4, free thyroxine;GH, growth hormone; IGF-1, insulin-like growth
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Department of Psychiatry, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan
School of Medicine, Tzu Chi University, Hualien, Taiwan
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in LHID2000 were considered for inclusion in the case cohort. For a reliable diagnosis, the case cohort included only those individuals who had been treated with antithyroid drugs (propylthiouracil, thiamazole, and carbimazole), radioactive iodine
Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
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Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
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, Karolinska Institutet, and the Stockholm County Council. The authors want to thank Elisabeth Gramatkovski for iodine analysis. References 1 Abraham P Avenell A McGeoch SC Clark LF Bevan JS. Antithyroid drug regimen for treating
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, which may create difficulties in treating this disease ( 3 ). Treatments for GD include oral antithyroid drugs, radioactive iodine therapy (RAI), and surgery, but each treatment regimen has the possibility of side effects ( 4 ). From this statement
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VM . Antithyroid drugs-the most common treatment for Graves’ disease in the United States: a nationwide population-based study . Thyroid 2016 26 1144 – 1145 . ( https://doi.org/10.1089/thy.2016.0222 ) 17 Azizi F Amouzegar A Tohidi M