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Usefulness of plasmapheresis in patients with severe complicated thyrotoxicosis.

The standard treatment of complicated thyrotoxicosis and thyroid storm with the concomitant use of antithyroid medication, iodine, beta-blockers, and corticosteroids is successful in most cases. However, treatment options are limited when antithyroidal drugs cannot be used or in cases that are refra...

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Publicado en:Baylor University Medical Center Proceedings Vol. 34; no. 2; pp. 279 - 283
Autores principales: Vinan-Vega, Myrian, Mantilla, Barbara, Jahan, Nusrat, Peminda, Cabandugama, Nugent, Kenneth, Lado-Abeal, Joaquin, Rivas, Ana
Formato: case study tables/charts Journal Article
Publicado: Taylor & Francis Ltd Apr2021
Acceso en línea:Ver este registro en EBSCOhost
Sumario:The standard treatment of complicated thyrotoxicosis and thyroid storm with the concomitant use of antithyroid medication, iodine, beta-blockers, and corticosteroids is successful in most cases. However, treatment options are limited when antithyroidal drugs cannot be used or in cases that are refractory to standard treatment. Plasmapheresis provides a safe and effective strategy when initial treatment fails, facilitating the transition to definitive treatments such as thyroidectomy. We present two adults with complicated thyrotoxicosis successfully treated with plasmapheresis as a bridge therapy to thyroidectomy or as an alternative to drug-induced toxicity.