A Presenting with Successful 131I Therapy of Thyroid Storm Accompanying Severe Hepatitis:a Case Report
10.3969/j.issn.1673-9701.2009.24.112
- VernacularTitle:131I成功治疗甲状腺危象合并严重肝损害个例报道
- Author:
Xiaobo QIN
1
;
Peng HU
Author Information
1. 重庆医科大学附属第二医院
- Keywords:
Hyperthyroidsm;
Hepatitis;
131I
- From:
China Modern Doctor
2009;47(24):196-197
- CountryChina
- Language:Chinese
-
Abstract:
Introduction Thyrotoxicosis hepatitis is common.It is difficult in therapy,especially thyroid crisis with severe hepatitis,propyithiouracil-induced hepatic disfunetion and even hepatic failure or severe hepatitis or fulminant hepatitis is come to light,as is methimazolc. If propylthiouracil or methimazole controls hyperthroidism,liver disfuncfion would be deteriorated,and even patient die. If we only treat hepatitis,hyperthroidism couldn't be controlcd,the patient would also be worsen. Methods 131I therapy for oral cures hyperthyroidism,meanwhils liver dysfunction can return to normal. Results Thyrotoxie crisis was under control,and liver function had gradual return. Conclusion 131I can be recognized as the safer,more convenient and effective and feasible treatment than ATD for thyrotoxicosis hepatitis.There were no harmful side effects or complications. It should be widely apply clinically.
