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Fighting thyrotoxicosis with therapeutic plasma exchange: A case report.
Valverde Márquez, Álvaro; Mories Álvarez, María Teresa; Villanueva Alvarado, Heather Stacey; Vivas Vaca, Ximena Carolina; Delgado Gómez, Manuel.
Afiliación
  • Valverde Márquez Á; Endocrinology and Nutrition Department, Salamanca University Healthcare Complex, Spain. Electronic address: alvarovalverdemarquez@gmail.com.
  • Mories Álvarez MT; Endocrinology and Nutrition Department, Salamanca University Healthcare Complex, Spain.
  • Villanueva Alvarado HS; Endocrinology and Nutrition Department, Salamanca University Healthcare Complex, Spain.
  • Vivas Vaca XC; Endocrinology and Nutrition Department, Salamanca University Healthcare Complex, Spain.
  • Delgado Gómez M; Endocrinology and Nutrition Department, Salamanca University Healthcare Complex, Spain.
Endocrinol Diabetes Nutr (Engl Ed) ; 71(4): 177-180, 2024 Apr.
Article en En | MEDLINE | ID: mdl-38735679
ABSTRACT
Thyrotoxicosis is the clinical condition resulting from an excess of thyroid hormones for any reason. The main causes are Graves-Basedow disease, toxic multinodular goitre and toxic adenoma. The medical treatment to control thyroid function includes antithyroid drugs, beta blockers, iodine solutions, corticosteroids and cholestyramine. Although therapeutic plasma exchange is not generally part of the therapy, it is an alternative as a preliminary stage before the definitive treatment. This procedure makes it possible to eliminate T4, T3, TSI, cytokines and amiodarone. In most cases, more than one cycle is necessary, either daily or every three days, until clinical improvement is observed. The effect on thyrotoxicosis is temporary, with an approximate duration of 24-48h. This approach has been proposed as a safe and effective alternative when the medical treatment is contraindicated or not effective, and when there is multiple organ failure or emergency surgery is required.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Intercambio Plasmático / Tirotoxicosis Límite: Female / Humans / Male / Middle aged Idioma: En Revista: Endocrinol Diabetes Nutr (Engl Ed) Año: 2024 Tipo del documento: Article Pais de publicación: España
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Intercambio Plasmático / Tirotoxicosis Límite: Female / Humans / Male / Middle aged Idioma: En Revista: Endocrinol Diabetes Nutr (Engl Ed) Año: 2024 Tipo del documento: Article Pais de publicación: España