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.

Dealing With Asthma Naturally

Dealing With Asthma Naturally

Do You Suffer From ASTHMA Chronic asthma is a paralyzing, suffocating and socially isolating condition that can cause anxiety that can trigger even more attacks. Before you know it you are caught in a vicious cycle Put an end to the dependence on inhalers, buying expensive prescription drugs and avoidance of allergenic situations and animals. Get control of your life again and Deal With Asthma Naturally

Get My Free Ebook


Post a comment