Cinco diferentes tipos de imágenes gammagráficas tiroideas en pacientes con enfermedad de Graves tratados con 131I en el Paraguay / Five different gammagraphic images of thyroid gland in patients with Graves disease treated with 131I in Paraguay
Rev. med. nucl. Alasbimn j
;
9(34)oct. 2006. ilus, tab
Article
in Spanish
| LILACS
| ID: lil-445750
ABSTRACT
Thyroid disease is frequent in Paraguay, a country with a prevalence of goiter 48,6 percent in general population located in the center of South America. Graves disease constitutes the most common thyroid hyperfunction observed whose treatment can be carried out with medication (propiltiouracil, metimazol, etc.), surgery or iodine 131(131I) We analyzed 70 patients this type of hyperthyroidism treated with the 131I, in its clinical aspect pre and post treatment, ultrasound and nuclear scan findings of the gland thyroid, the hormonal respond Ft4, T3, TSH, thyroid antibodies TPOab, TGab, TRab. Besides the diffuse classic image observed in the thyroid scan and by ultrasonography of the gland, in Graves disease, 4 types of images were identified with nodules (multinodular, hot nodule, cold nodule and miliar). The group with diffuse increase in size form was the most numerous (50 percent) continued by the variety multinodular (30 percent), Marin-Lenharts Sx (hot nodule) 14 percent, miliary 3 percent, and cold nodule 3 percent. Three months after the treatment with the radioiodine was observed the decrease of the size and thyroid volume in 68 percent of the patients, thyroid uptake with 131I diminished in 75 percent. All patients had an increase of weight of 20 percent and 87 percent of then were feminine. The signs and symptoms were normalized in 88,5 percent of the patients. The levels of FT4 were normalized in 73, 8 percent, T3 in 66 percent, TSH in 47,7 percent, TPOab in 83 percent, TGab in 90 percent, and TRab in 84 percent. A received a single dose of 131I was used it in 93 percent of the patient The cost of the 131I in the Clinic Hospital was half of the cost of the surgery, and at private level the fourth part but cheap.
Full text:
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Index:
LILACS (Americas)
Main subject:
Thyroid Gland
/
Graves Disease
/
Iodine Radioisotopes
Type of study:
Prognostic study
/
Risk factors
Limits:
Adult
/
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Paraguay
Language:
Spanish
Journal:
Rev. med. nucl. Alasbimn j
Journal subject:
Nuclear Medicine
Year:
2006
Type:
Article
Affiliation country:
Paraguay
Institution/Affiliation country:
Universidad Nacional de Asunción/PY
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