[Hyperthyroidism after iodine-containing contrast agent administration].

@article{ach2013HyperthyroidismAI,
  title={[Hyperthyroidism after iodine-containing contrast agent administration].},
  author={Marcin Żach and Karolina Kryjan and Urszula Ambroziak and Magdalena Witkowska and Grzegorz Karpinski and Grzegorz Opolski and Tomasz Bednarczuk},
  journal={Kardiologia polska},
  year={2013},
  volume={71 7},
  pages={
          752-6
        }
}
Copyright © Polskie Towarzystwo Kardiologiczne WSTĘP Nadczynnośc tarczycy indukowana jodem jest rzadkim, ale potencjalnie groźnym w skutkach powiklaniem badania radiologicznego z uzyciem środkow cieniujących zawierających jod. Nadczynnośc tarczycy indukowana jodem dotyczy szczegolnie pacjentow oddzialow chorob wewnetrznych i kardiologii w podeszlym wieku, obciązonych wieloma chorobami, dla ktorych skutki tyreotoksykozy mogą byc bardzo niebezpieczne. Ponizej zaprezentowano 2 przypadki rozwoju… 
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The Impact of Iodine Concentration Disorders on Health and Cancer
TLDR
An iodine enrichment vehicle other than salt could be considered if salt iodine levels are not increased to compensate, and urine iodine levels should be monitored more frequently.
Is There an Ideal Diet to Protect against Iodine Deficiency?
TLDR
It appears that there is no diet which would fully cover the iodine requirements, and iodine food supplementation is still required, so iodine deficiency remains a relevant issue, with new, preventive solutions necessary.

References

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Scintigraphy for risk stratification of iodine-induced thyrotoxicosis in patients receiving contrast agent for coronary angiography: a prospective study of patients with low thyrotropin.
TLDR
In patients with low levels of TSH, the risk of hyperthyroidism after application of iodine-containing contrast media is negligible if TCTU is less than 1%.
Risk of iodine-induced thyrotoxicosis after coronary angiography: an investigation in 788 unselected subjects.
TLDR
In euthyroid unselected patients from an iodine-deficient area short-term iodine contamination by contrast media rarely leads to hyperthyroidism, and prophylactic therapy is not generally recommended.
Comparison and assessment of thyroid morphology and function in inhabitants of Lower Silesia before and after administration of a single dose of iodine-containing contrast agent during cardiac intervention procedure.
TLDR
Considering the multitude of silent thyroid pathologies, particular care is required before administering an iodine-based medium and it is reasonable and advisable to monitor TSH and fT3 levels before and at four weeks after administration of a iodine-containing contrast agent.
Effect of iodinated contrast media on thyroid function in adults
TLDR
Patients at high- risk of developing thyrotoxicosis after contrast medium injection are patients with Graves’ disease and patients with multinodular goiter with thyroid autonomy, especially elderly patients and patients living in areas of iodine deficiency, although it may offer some protection in selected high-risk individuals.
Iodine-induced thyroid dysfunction
TLDR
Iodine-induced thyroid dysfunction may be subclinical or overt, and recognition of the association between iodine excess and iodine-induced hypothyroidism or hyperthyroidism is important in the differential diagnosis of patients who present without a known cause.
Prophylactic application of thyrostatic drugs during excessive iodine exposure in euthyroid patients with thyroid autonomy: a randomized study.
TLDR
In conclusion, short-term prophylactic thyrostatic therapy seems to have a protective effect against iodine excess in patients with euthyroid autonomy, however, mild hyperthyroidism could not be prevented in some cases.
Association between iodinated contrast media exposure and incident hyperthyroidism and hypothyroidism.
TLDR
Iodinated contrast media exposure is associated with subsequent development of incident hyperthyroidism and incident overt hypothyroidism.
[Thyrotoxic crisis after exposure to iodine. A case with fatal outcome].
TLDR
A 78-year-old woman is presented with a multinodular toxic goiter and euthyroidism under continuous low-dose treatment with antithyroid drugs and dies of acute cardiovascular failure 3 days later.
Work of the Polish Council for Control of Iodine Deficiency Disorders, and the model of iodine prophylaxis in Poland.
TLDR
The Polish Council for Control of Iodine Deficiency Disorders comprises a group of experts in endocrinology, iodine prophylaxis, the technology of salt and food iodisation, and Polish representatives of several organisations: WHO, UNICEF, the Polish Consumers Federation, and the Spokesman for Children's Rights.
Hyperthyroidism and other causes of thyrotoxicosis: management guidelines of the American Thyroid Association and American Association of Clinical Endocrinologists.
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  • Medicine, Biology
    Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
  • 2011
TLDR
Evidence-based clinical guidelines for the management of thyrotoxicosis are described that would be useful to generalist and subspeciality physicians and others providing care for patients with this condition.
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