HYPERTHYROIDISM-TOXIC ADENOMA

SUMMARY

1. Benign area of autonomous hyper-functioning thyroid tissue.

2. Check TSH, RAIU, scintigraphy.

3. DDx: Graves disease, thyroiditis, toxic MNG, iatrogenic (thyroxine), excess iodine (amiodarone).

4. Tx with RAI or surgery.

5. Anti-thyroid drugs do not work in the long-term.

6. Percutaneous ethanol injection of nodules is an alternative.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].