Simultaneous treatment of toxic diffuse goiter with I-131 and antithyroid drugs: a prospective study.

作者: Glenda D. Donoghue , Jehuda J. Steinbach , Jack K. Goldman

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摘要: We report a prospective study to avaluate the effect of antithyroid drugs containing sulfhydryl radical on outcome I-131 (RAI) therapy. Twenty-four male patients withe toxic diffuse goiter were assigned randomly into tow treatment groups: Group A received RAI while antighyroid after attainment euthyroidism; B no before, or when, was given. Patients in each group dose calculated deliver approximately 5000 rads per treatment. The incidence hypothyroidism at 12 mo 8% for and 36% (p less than 0.01). During 12-102 follow-up, additional encountered A. Two with significantly elevated TSH levels found B, one 20 75 RAI. mean time cure 15.2 +/- 9.1 19.7 8.2 mo. (NS: p more 0.45). improved therapeutic suggests that further validation method larger patient population, including females, is warranted.

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