Review Article
Volume 15 Issue 7 - 2019
Approach to Thyrotoxicosis
Sherif Aly Emad Aldain Abueldahb1*, Hassan Ibrahim AlHassar2, Mansour A Arishi3, Abdulkareem Khalid S Bagar4, Mustafa Saeed Almahasnah5, Yousef Mohammed Ahmed Alghazali6, Sameer Ahmed Ali Almoraihel2, Eman Salman Alsalam7, Tahany Amesh Saad Alarjawe8, Shahad Mohammed Awad Alhazmi8 and Ibtihal Abbas Mohammad Al Ithan9
1Consultant of Internal Medicine, AL Zahraa Hospitals, Sherifaly, Saudi Arabia
2ALjafr General Hospital, Saudi Arabia
3King Khalid Hospital-Tabuk, Saudi Arabia
4Medical University of Gdansk, Saudi Arabia
5Khafji General Hospital, Saudi Arabia
6International Medical Center, Saudi Arabia
7Zhejiang University, Hangzhou-China
8University of Hail, Saudi Arabia
9Management of Health Centers - AlHasa, Saudi Arabia
*Corresponding Author: Sherif Aly Emad Aldain Abueldahb, Consultant of Internal Medicine, AL Zahraa Hospitals, Sherifaly, Saudi Arabia.
Received: June 14, 2019; Published: July 01, 2019




Abstract

Introduction: Thyrotoxicosis is considered to be one of the common medical conditions. It is generally known to be associated with increasing levels of thyroid hormones circulating in the blood. Thyrotoxicosis might clinically present in several presentations and therefore could be faced by physicians in different medical specialties. In Europe, it impacts about one in two thousand patients every year. Despite the fact that thyrotoxicosis usually manifests with decreased weight, intolerance to heat, and increased heart rate, there are a many other additional manifestations, which present more variably with older age and in patients with relatively mild conditions. It is essential to detect the cause of the thyrotoxicosis, as this helps plan management. Some professionals distinguish between hyperthyroidism and thyrotoxicosis by restricting the former term to explain the cases associated with increased secretion and synthesis of the hormones of the thyroid from the thyroid gland. This clinical review summarizes the latest evidence for the diagnosis and treatment of adult patients with thyrotoxicosis.

Aim of Work: In this review, we will discuss thyrotoxicosis.

Methodology: We did a systematic search for approach to thyrotoxicosis using PubMed search engine (http://www.ncbi.nlm.nih.gov/) and Google Scholar search engine (https://scholar.google.com). All relevant studies were retrieved and discussed. We only included full articles.

Conclusions: Thyrotoxicosis is considered to be one of the common medical conditions. It is generally known to be associated with increasing levels of thyroid hormones circulating in the blood. Decreased weight, intolerance to heat, increased heart rate, tremors, agitation, and exhaustion are generally common clinical manifestations of thyrotoxicosis. The present treatment options for hyperthyroid Graves’ disease are thionamide pharmacological agents, using radioiodine, or undergoing thyroid surgery (thyroidectomy). Β-blockers (like propranolol modified release one or two times a day) are beneficial to control clinical manifestations in all thyrotoxicosis patients.

Keywords: Thyrotoxicosis; Approach; Management; Diagnosis; Treatment

References

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Citation: Sherif Aly Emad Aldain Abueldahb., et al. “Approach to Thyrotoxicosis”.”. EC Microbiology 15.7 (2019): 646-652.

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