Boddenberg B, Voth E, Schicha H
Klinik und Poliklinik für Nuklearmedizin, Universität zu Köln, FRG.
Nuklearmedizin. 1993 Feb;32(1):18-22.
Immunogenic hyperthyroidism rarely develops after radioiodine elimination of focal autonomous thyroid tissue. We observed this phenomenon in 8 patients between 1989 and 1992. The occurrence of immunogenic hyperthyroidism shortly after elimination of autonomous nodules has not been studied nor is it properly understood. Most studies known today describe the development of autonomous nodules in the course of immunogenic hyperthyroidism or ignore the chronologic order of occurrence. The possibility that immunogenic hyperthyroidism may occur after radioiodine therapy of autonomous nodules, makes a consequent follow-up within the first year following radioiodine therapy mandatory.
放射性碘消除局灶性自主性甲状腺组织后很少发生免疫性甲状腺功能亢进。1989年至1992年间,我们在8例患者中观察到了这种现象。自主性结节消除后不久发生免疫性甲状腺功能亢进的情况尚未得到研究,也未得到恰当理解。当今大多数已知研究描述的是免疫性甲状腺功能亢进过程中自主性结节的发展,或者忽略了发生的时间顺序。自主性结节放射性碘治疗后可能发生免疫性甲状腺功能亢进,这使得放射性碘治疗后的第一年进行连续随访成为必要。