Iodine-induced thyrotoxicosis: analysis of eighty-five consecutive cases

Eur J Clin Invest. 1984 Dec;14(6):449-55. doi: 10.1111/j.1365-2362.1984.tb01212.x.

Abstract

Iodine-induced thyrotoxicosis was documented in eighty-five cases. Eighty per cent occur in apparently normal thyroid glands; 60% among them occur in males. Amiodarone accounted for 50% of iodine-induced thyrotoxicosis. Mean thyroid hormone levels at diagnosis were: FT1: 21.7 (normal mean: 7.5, arbitrary units); T3: 4.53 nmol 1(-1) (normal: 2.30 nmol 1(-1). Mean 131I- 24-h uptake was 3.5% (normal range in France 25-45%) and was activated by exogenous TSH (mean 27%). The spontaneous cure in nontreated cases was observed within an average 6 months. A phase of biological hypothyroidism (mean FT1: 3.7, T3: 1.23 nmol 1(-1), TSH: 9.6 microU ml-1 (normal TSH range: 1-7 microU ml-1] preceded the return to euthyroidism. Intrathyroid iodine content measured by X-ray fluorescence was high, then fell gradually. Thyroid tissue study showed a large quantity of intrathyroid iodine and the overiodination of thyroglobulin. Histological and electron microscopic studies are reported. Prednisone and in some cases propylthiouracile were found to be effective.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Child, Preschool
  • Female
  • Follow-Up Studies
  • Humans
  • Hyperthyroidism / blood
  • Hyperthyroidism / chemically induced*
  • Hyperthyroidism / pathology
  • Iodine / adverse effects*
  • Iodine Radioisotopes / metabolism
  • Male
  • Middle Aged
  • Thyroid Diseases / complications
  • Thyroid Gland / pathology
  • Thyroid Hormones / blood
  • Thyrotropin-Releasing Hormone

Substances

  • Iodine Radioisotopes
  • Thyroid Hormones
  • Thyrotropin-Releasing Hormone
  • Iodine