Miscellaneous

Treatment of thyroiditis (Hashimoto's thyroiditis, subacute thyroiditis of de Quervain). Where hyperthyroidism is a feature, treatment is by a adrenoceptor blocking drug. Antithyroid drugs should not be used. Where there is permanent hypothyroidism, the treatment is thyroid hormone replacement.

Calcitonin: see Chapter 38.

Autoimmune disease of the thyroid can cause over- or underproduction of thyroid hormone.

• Hypothyroidism is readily treated by oral administration of levothyroxine 50 200 micrograms daily.This needs to be continued indefinitely.

• The treatment of hyperthyroidism due to Graves' disease is either I 2 months treatment with cafbimazole or propylthiouracil or a single diagnosis of '"'I.These drugs do not have a place in the 5 10% of patients in whom thyrotoxicosis is due to a toxic adenoma or to subacute thyroiditis.

• The natural history of Graves' disease is of alternating ¡"emission and relapse. Progression to hypothyroidism can occur, especially after fill treatment. Such patients should have long-term follow-up. and are likely to require thyroid hormone replacement therapy.

• Severe forms of thyroid eye disease should be treated with steroids and immunosuppresants or low-dose radiotherapy. Urgent surgical decompression can be required for exophthalmos.

Blood Pressure Health

Blood Pressure Health

Your heart pumps blood throughout your body using a network of tubing called arteries and capillaries which return the blood back to your heart via your veins. Blood pressure is the force of the blood pushing against the walls of your arteries as your heart beats.Learn more...

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