Treatment Hyperthyroidism Guidelines
There has been uncertainty in the uk about the best treatment for hyperthyroidism despite radioactive iodine being the most common.
Treatment hyperthyroidism guidelines. Part ii in a series covering the american thyroid association guidelines on the treatment of hypothyroidism. Prepared by the american thyroid association task force on thyroid hormone replacement 2014 jonklaas bianco et al thyroid 24 12. Appropriate treatment of thyrotoxicosis requires an accurate diagnosis and the 124 recommendations presented in the new 2016 guidelines help define current best practices for patient evaluation diagnosis and treatment.
Subclinical hyperthyroidism is when your thyroid stimulating hormone tsh is low but your t3 and t4 levels are normal. Notwithstanding the recent 2011 guidelines there are still insufficient data to recommend for or against treatment of subclinical hyperthyroidism in young people with subclinical hyperthyroidism. Treatment of hyperthyroidism includes symptom relief as well as antithyroid pharmacotherapy radioactive iodine 131 131 i therapy the preferred treatment of hyperthyroidism among us thyroid specialists or thyroidectomy however antithyroid medications are not effective in thyrotoxicosis in which scintigraphy shows low uptake of iodine 123 123 i as in patients with subacute thyroiditis.
In some cases it needs to be treated to avoid complications. A study on middle aged patients showed an improvement in hyperthyroidism symptoms after treatment 36. This paper describes evidence based clinical guidelines for the clinical management of hypothyroidism in ambulatory patients.
The recommendations on follow up of hyperthyroidism or subclinical hyperthyroidism are largely based on the national institute of health and care excellence nice clinical guideline thyroid disease. The guidelines published in thyroid a peer reviewed journal from mary ann liebert inc publishers and the official. American association of clinical endocrinologists medical guidelines for clinical practice for the evaluation and treatment of hyperthyroidism and hypothyroidism.
Appropriate treatment requires an accurate diagnosis and is influenced by coexisting medical conditions. Kristien boelaert who led the guideline committee says. Hypothyroidism guidelines pocket card.
This section covers recommendations regarding managing comorbid diseases patient subpopulations treatment nonadherence secondary hypothyroidism management of symptoms when thyroid function is normal and ethical considerations.
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