Diagnosis and radioablation treatment of toxic multinodular goiter in a hemodialysis patient

Trudy M. Demko, Mark Tulchinsky, Kenneth L. Miller, Joseph Y. Cheung, James A. Groff

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Toxic multinodular golter is rare in hemodialysis patients. In addition, establishing the diagnosis of hyperthyroidism in the elderly patient with renal failure is difficult because abnormal thyroid function tests can erroneously be attributed to euthyroid sick syndrome. Treatment of hyperthyroidism in dialysis patients by radioiodine ablation involves careful calculation of 131I dose, determination of interval between 131I administration and its removal by hemodialysis, and minimization of radiation hazards suring dialytic removal of 131I. We described the clinical presentation of an elderly dialysis patient with toxic multinodular goiter and discussed our diagnostic and therapeutic approaches. The patient's recovery after131I ablation was complete and uneventful.

Original languageEnglish (US)
Pages (from-to)698-700
Number of pages3
JournalAmerican Journal of Kidney Diseases
Volume31
Issue number4
DOIs
StatePublished - Apr 1998

All Science Journal Classification (ASJC) codes

  • Nephrology

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