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

doi:10.1053/ajkd.1998.v31.pm9531189

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 journal › Article › peer-review

10 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 language	English (US)
Pages (from-to)	698-700
Number of pages	3
Journal	American Journal of Kidney Diseases
Volume	31
Issue number	4
DOIs	https://doi.org/10.1053/ajkd.1998.v31.pm9531189
State	Published - Apr 1998

All Science Journal Classification (ASJC) codes

Nephrology

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10.1053/ajkd.1998.v31.pm9531189

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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.",

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

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