SYNDROMES OF THYROTOXICOSIS WITH LOW RADIOACTIVE IODINE UPTAKE

Ross, Douglas S.

doi:10.1016/s0889-8529(05)70305-4

Cited by 100Thyroid Disorders and TreatmentsThyroid Cancer Diagnosis and TreatmentOphthalmology and Eye Disorders

SYNDROMES OF THYROTOXICOSIS WITH LOW RADIOACTIVE IODINE UPTAKE

Ross, Douglas S.·1998·Endocrinology and Metabolism Clinics of North America

DOI 10.1016/s0889-8529(05)70305-4

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Abstract

It is very important to diagnose correctly the etiology of thyrotoxicosis, because the course and treatment of thyrotoxicosis with low radioactive iodine uptake differ significantly from that of hyperthyroidism due to Graves' disease or toxic nodular goiter. Many causes of subacute thyroiditis have been identified producing a characteristic course of transient hyperthyroidism, followed by hypothyroidism, and usually recovery. Ectopic hyperthyroidism includes factitious thyroid hormone ingestion, struma ovarii, and, rarely, large deposits of functioning thyroid cancer metastases. Iodine-induced hyperthyroidism may be associated with low radioiodine uptakes. Amiodarone-associated hyperthyroidism may be the result of subacute thyroiditis or iodine-induced hyperthyroidism; assessment and treatment can be quite challenging.

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Approximately 5%-10% of patients with struma ovarii present with thyrotoxicosis due to either autonomous ectopic thyroid function or the coexistence of GD.
“Approximately 5%-10% of patients with struma ovarii present with thyrotoxicosis (662) due to either autonomous ectopic thyroid function or the coexistence of GD”
From 2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis (2016) · cites this paper as [662]

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Walfish, P. G. (1992) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.75.1.224 · Cited by 17 · see citing works
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2016 American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and Other Causes of Thyrotoxicosis
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“Approximately 5%– 10% of patients with struma ovarii present with thyrotoxicosis (662) due to either autonomous ectopic thyroid function or the coexistence of GD, and up to 25% of struma ovarii tumors contain elements of papillary thyroid cancer.”
BackgroundSelf-citation
Global epidemiology of hyperthyroidism and hypothyroidism
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Self-citation
Hyperthyroidism and Other Causes of Thyrotoxicosis: Management Guidelines of the American Thyroid Association and American Association of Clinical Endocrinologists
The American Thyroid Association and American Association of Clinical Endocrinologists Taskforce on Hyperthyroidism and Other Causes of Thyrotoxicosis, Bahn, R. S., Burch, H. B., Cooper, D. S., Garber, J. R., Greenlee, M. C., Klein, I., Laurberg, P., McDougall, I. R., Montori, V. M., et al. (2011) · Thyroid · doi:10.1089/thy.2010.0417 · Cited by 898 · see citing works
Self-citation
Thyroiditis
Pearce, E. N., Farwell, A. P., & Braverman, L. E. (2003) · New England Journal of Medicine · doi:10.1056/nejmra021194 · Cited by 878 · see citing works
Hypothyroidism
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Clinical Features and Outcome of Subacute Thyroiditis in an Incidence Cohort: Olmsted County, Minnesota, Study
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Cutaneous Manifestations of Endocrine Disorders
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Interpretation of thyroid function tests
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Iodine-induced thyroid dysfunction
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Amiodarone-Induced Thyrotoxicosis
Daniels, G. H. (2001) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.86.1.7119 · Cited by 159 · see citing works
Thyrotoxicosis: Diagnosis and Management
Sharma, A. R., & Stan, M. N. (2019) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2018.10.011 · Cited by 114 · see citing works
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Malignant Struma Ovarii: An Unusual Presentation
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Association of the Ultrasonographic Findings of Subacute Thyroiditis with Thyroid Pain and Laboratory Findings
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Consenso brasileiro para o diagnóstico e tratamento do hipertireoidismo: recomendações do Departamento de Tireoide da Sociedade Brasileira de Endocrinologia e Metabologia
Maia, A. L., Scheffel, R. S., Meyer, E. L. D. S., Mazeto, G. M. F. D. S., de Carvalho, G. A., Graf, H., Vaisman, M., Maciel, L. M. Z., Ramos, H. E., Tincani, Á. J., et al. (2013) · Arquivos Brasileiros de Endocrinologia & Metabologia · doi:10.1590/s0004-27302013000300006 · Cited by 58 · see citing works
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Malignant Struma ovarii: Report of a Case and Review of the Literature
Kostoglou‐Athanassiou, I., Lekka-Katsouli, I., Gogou, L., Papagrigoriou, L., Chatonides, I., & Kaldrymides, P. (2002) · Hormone Research in Paediatrics · doi:10.1159/000063215 · Cited by 41 · see citing works
The utility of radioiodine uptake and thyroid scintigraphy in the diagnosis and management of hyperthyroidism
Okosieme, O. E., Chan, D., Price, S., Lazarus, J. H., & Premawardhana, L. D. K. E. (2009) · Clinical Endocrinology · doi:10.1111/j.1365-2265.2009.03623.x · Cited by 38 · see citing works
Struma Ovarii with Hyperthyroidism
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Iatrogenic Thyrotoxicosis: Causal Circumstances, Pathophysiology, and Principles of Treatment—Review of the Literature
Meurisse, M., Gollogly, L., Degauque, C., Fumal, I., Deféchereux, T., & Hamoir, E. (2000) · World Journal of Surgery · doi:10.1007/s002680010228 · Cited by 34 · see citing works
Uncommon Causes of Thyrotoxicosis
Mittra, E., Niederkohr, R. D., Rodriguez, C., El-Maghraby, T., & McDougall, I. R. (2008) · Journal of Nuclear Medicine · doi:10.2967/jnumed.107.041202 · Cited by 32 · see citing works
Experiment and DFT studies on radioiodine removal and storage mechanism by imidazolium-based ionic liquid
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Anaplastic Thyroid Cancer with Transient Thyrotoxicosis: Case Report and Literature Review
Alagöl, F., Tanakol, R., Boztepe, H., Kapran, Y., Terzioğlu, T., & Dizdaroğlu, F. (1999) · Thyroid · doi:10.1089/thy.1999.9.1029 · Cited by 31 · see citing works
Thyrotoxic adenoma followed by atypical hyperthyroidism due to struma ovarii: clinical and genetic studies
Ciccarelli, A., Valdes‐Socin, H., Parma, J., Khoo, S., Schoumans, J., Colao, A., Hamoir, E., & Beckers, A. M. (2004) · European Journal of Endocrinology · doi:10.1530/eje.0.1500431 · Cited by 29 · see citing works
Hyperthyroidism: advantages and disadvantages of medical therapy
Pearce, E. N., & Braverman, L. E. (2004) · Surgical Clinics of North America · doi:10.1016/j.suc.2004.01.007 · Cited by 28 · see citing works
Management of Subacute Thyroiditis – A Systematic Review of Current Treatment Protocols
Ray, I., Dsouza, B., Sarker, P., & Agarwal, P. (2022) · International Journal of General Medicine · doi:10.2147/ijgm.s366784 · Cited by 27 · see citing works
The Old and the New in Subacute Thyroiditis: An Integrative Review
Lanzo, N., Patera, B., Fazzino, G. F. M., Gallo, D., Lai, A., Piantanida, E., Ippolito, S., & Tanda, M. L. (2022) · Endocrines · doi:10.3390/endocrines3030031 · Cited by 26 · see citing works
Palpation Thyroiditis Causing New-Onset Atrial Fibrillation
Mai, V. Q., Glister, B. C., Clyde, P. W., & Shakir, K. M. M. (2008) · Thyroid · doi:10.1089/thy.2007.0246 · Cited by 23 · see citing works
Endocrine radionuclide scintigraphy with fusion single photon emission computed tomography/computed tomography
Wong, K.-K., Gandhi, A., Viglianti, B. L., Fig, L. M., Rubello, D., & Gross, M. D. (2016) · World Journal of Radiology · doi:10.4329/wjr.v8.i6.635 · Cited by 22 · see citing works
Acute Thyrotoxicosis Secondary to Destructive Thyroiditis Associated with Cardiac Catheterization Contrast Dye
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Newly diagnosed thyrotoxicosis in hospitalized patients: clinical characteristics
Rotman‐Pikielny, P., Borodin, O., Zissin, R., Ness-Abramof, R., & Levy, Y. M. (2008) · QJM · doi:10.1093/qjmed/hcn107 · Cited by 15 · see citing works
Treatment of post-partum thyrotoxicosis
Azizi, F. (2006) · Journal of Endocrinological Investigation · doi:10.1007/bf03345547 · Cited by 17 · see citing works
“Thyrotoxic Psychosis” Associated With Subacute Thyroiditis
Rizvi, A. A. (2007) · Southern Medical Journal · doi:10.1097/smj.0b013e318063ed4e · Cited by 17 · see citing works
Thyrotoxicosis of other Etiologies
Kopp, P. A. (2010) · Cited by 17 · see citing works
Transient Diabetes Insipidus and Hypopituitarism after Pituitary Apoplexy: A Rare Association with Pericardial Effusion and Pain less Thyroiditis
Punnose, J., Agarwal, M., & Premchandran, J. S. (2000) · The American Journal of the Medical Sciences · doi:10.1016/s0002-9629(15)40741-4 · Cited by 10 · see citing works
Amiodarone-Induced Hyperthyroidism in a Patient with Functioning Papillary Carcinoma of the Thyroid and Extensive Hepatic Metastases
Mackie, G. C., & Shulkin, B. L. (2005) · Thyroid · doi:10.1089/thy.2005.15.1337 · Cited by 10 · see citing works
Inflammatory thyroid disorders
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Iatrogenic Thyrotoxicosis. Causal Circumstances, Pathophysiology and Principles of Treatment. Review of the Literature
Meurisse, M., Preud'homme, L., Lamberty, G., Meurisse, N., Bataille, Y., Defêchereux, T., & Hamoir, E. (2001) · Acta chirurgica Belgica · doi:10.1080/00015458.2001.12098632 · Cited by 8 · see citing works
Struma Ovarii in Pregnancy
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Malignant struma ovarii mimic clear cell carcinoma
García, Á., Castellví, J., López, M., Gil‐Moreno, A., de la Torre, J., & y Cajal, S. R. (2004) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-004-0605-2 · Cited by 7 · see citing works
Vasospastic angina in a patient with hyperthyroidism
Canpolat, U., Sunman, H., Gürses, K. M., & Aytemir, K. (2012) · Herz · doi:10.1007/s00059-011-3572-y · Cited by 6 · see citing works
Tiroidites autoimunes.
Melo, M. (2007) · Acta Médica Portuguesa · doi:10.20344/amp.976 · Cited by 6 · see citing works
An uncommon endocrine cause of pyrexia of unknown origin.
Alexander, V., Kurien, T. T., & Chattopadhyay, A. (2009) · PubMed · Cited by 6 · see citing works
Papillary carcinoma in struma ovarii: an unusual presentation.
Tomee, J. F. C., van der Heijden, P. F. M., Hout, J. H. W. V. D., Brinkhuis, M., & Veneman, T. F. (2008) · PubMed · Cited by 6 · see citing works
Tirotoxicosis e hipertiroidismo
Carrera, C. B., Cabañas-Durán, M., Fernández, C., & García, J. A. R. (2020) · Medicine - Programa de Formación Médica Continuada Acreditado · doi:10.1016/j.med.2020.07.002 · Cited by 5 · see citing works
Subacute lymphocytic thyroiditis after lobectomy in a patient with papillary thyroid carcinoma: a case report
Choi, Y. S., Han, Y. J., Yeo, G. E., Kwon, S. K., Kim, B. K., Park, Y., Kim, S. W., Chun, B. K., Kong, E. H., & Kim, J. H. (2013) · Journal of Medical Case Reports · doi:10.1186/1752-1947-7-3 · Cited by 4 · see citing works
Iodine-Induced Thyroid Dysfunction
Leo, S. D., & Braverman, L. E. (2019) · Springer eBooks · doi:10.1007/978-3-319-72102-6_31 · Cited by 4 · see citing works
Non-neoplastic lesions of the thyroid gland
Adair, C. F. (2012) · Elsevier eBooks · doi:10.1016/b978-1-4377-2607-7.00031-2 · Cited by 4 · see citing works
Subacute Thyroiditis and Painless Thyroiditis: Clinical Characteristics of 221 Patients Diagnosed between 2009 and 2015
Choi, J. A., Kim, Y. H., Shin, D. H., Lee, J. M., Heo, J. Y., Kim, T. H., Park, W. I., Kim, C. Y., Lee, I. H., Kim, J. S., et al. (2016) · International Journal of Thyroidology · doi:10.11106/ijt.2016.9.2.145 · Cited by 3 · see citing works
Autonomously Functioning Thyroid Nodules and Other Causes of Thyrotoxicosis
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Apathetic Thyrotoxicosis Secondary to Atypical Subacute Thyroiditis
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Tc-99m-TETROFOSMIN THYROID SCAN IN PATIENTS WITH LOW I-131 THYROID UPTAKE
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Hashitoxicosis (or Graves' disease?) with pericardial effusion
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Thyrotoxicosis, Overview of Causes
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Tiroiditis
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Return to Play After Thyroiditis in a Football Athlete
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Non-Neoplastic Lesions of the Thyroid Gland
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Hyperthyroidism
Imam, S. K. (2016) · Springer eBooks · doi:10.1007/978-3-319-25871-3_8 · Cited by 1 · see citing works
Thyroïdites
Duron, F., Dubosclard, E., Ballot, E., & Johanet, C. (2004) · EMC - Endocrinologie · doi:10.1016/j.emcend.2003.10.005 · Cited by 1 · see citing works
Thyroiditis
Angell, T. E., Kim, M. I., & Bernet, V. J. (2020) · Elsevier eBooks · doi:10.1016/b978-0-323-66127-0.00004-1 · Cited by 1 · see citing works
Thyrotoxicosis is no insurance against thyroid cancer
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Delayed Diagnosis of Painless Thyroiditis in an Adolescent Presenting with Aggression and Disruptive Behavior Initially Attributed to Worsening of a Psychiatric Disorder
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Dermatological Manifestations in Endocrine Disorders
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Radioiodine Therapy of Graves’ Disease
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Distinção entre os tipos 1 e 2 de tireotoxicose associada à amiodarona por meio de dúplex-Doppler colorido
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Case History Malignant Struma Ovarii: An Unusual Presentation
Checrallah, A., Medlej, R., Saade, C., Khayat, G. W., & Halaby, G. (2001) · Cited by 1 · see citing works
Recurrent Episodes of Thyrotoxicosis in a Man following Pregnancies of his Spouse with Hashimoto’s Thyroiditis
Belokovskaya, R., & Levine, A. C. (2015) · Case Reports in Endocrinology · doi:10.1155/2015/940241
Hipertiroidismo. concepto, clasificación, fisiopatología y manifestaciones clínicas
Cienfuegos, I. D., & Laureano, F. C. S. (2000) · Medicine - Programa de Formación Médica Continuada Acreditado · doi:10.1016/s0304-5412(00)70177-6
Diagnostic dilemma of adnexal mass in a postmenopausal woman
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THE IMPACT OF THYROID DYSFUNCTION ON CARDIOVASCULAR RISK
Manuchehri, A. M. (2008) · Repository@Hull (Worktribe) (University of Hull)
ENFOQUE DEL PACIENTE CON ENFERMEDAD DE GRAVES REVISIÓN
Barrera, C. A. B. (2005) · Revista Med
Development of Thyroid-Stimulating Antibodies and Thyrotoxicosis in a Case of Advanced Follicular Thyroid Carcinoma
Natsuda, S., Horie, I., Ando, T., & Kawakami, A. (2014)
Painless Thyroiditis Presenting as Hypercalcemia in Pregnancy: A Rare Case Report
Alsahafi, H., Damanhuri, B., Ahmed, F., Almalki, F., & Mokhtar, D. (2016) · International Journal of Medical Research Professionals · doi:10.21276/ijmrp.2016.2.6.033
A Rare Case of Functional Ectopic Hyperthyroidism: Struma Ovarii
Lata, I., & Kapoor, D. (2016) · World Journal of Endocrine Surgery · doi:10.5005/jp-journals-10002-1194
Challenging Diagnosis of Postpartum Thyroiditis and Co-Existing Thyroid Nodule
Wong, K. K., Gandhi, A., Rubello, D., Gross, M. D., & Jaffe, C. A. (2017) · AACE Clinical Case Reports · doi:10.4158/ep171755.cr
Recurrent thyrotoxicosis of extrathyroidal origin due to struma ovarii: A case report and review
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Follicular variant of papillary carcinoma thyroid occurring in struma ovarii
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Thyroiditis
Smallridge, R. C. (2009) · Elsevier eBooks · doi:10.1016/b978-0-323-05885-8.00035-0
Autonomously Functioning Thyroid Nodules and Other Causes of Thyrotoxicosis
HENNEMANN, G. (2010) · Elsevier eBooks · doi:10.1016/b978-1-4160-5583-9.00082-4
Thyroid Dysfunctions
Wägner, A. M., & Webb, S. M. (2002) · Springer eBooks · doi:10.1007/978-3-642-56225-9_118
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Authors: Ross, D. S.
Affiliations: Harvard University (US)
Corresponding author: Ross, Douglas S.
ORCID: Ross, Douglas S.
Venue: Endocrinology and Metabolism Clinics of North America
Publisher: Elsevier BV
Published: 1998-03
Volume: 27
Issue: 1
Pages: 169-185
ISSN: 0889-8529 (ISSN-L)
DOI: 10.1016/s0889-8529(05)70305-4
OpenAlex: W1974537377
Cited by: 100
References: 100
Citations by year: 2026: 2 · 2025: 1 · 2024: 3 · 2022: 4 · 2020: 2 · 2019: 4 · 2018: 3 · 2017: 3 · 2016: 10 · 2015: 4 · 2014: 1 · 2013: 3 · 2012: 5
FWCI: 3.13
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Endocrinology and Metabolism Clinics of North America (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Cancer Diagnosis and Treatment
Health Sciences › Medicine › Pathology and Forensic Medicine › Ophthalmology and Eye Disorders
Keywords: thyrotoxicosis, subacute thyroiditis, iodine-induced hyperthyroidism, Graves' disease, toxic multinodular goiter, toxic adenoma, thyroid hormone synthesis
MeSH terms: Humans, Hyperthyroidism, Iodine, Iodine Radioisotopes, Syndrome, Thyroiditis, Subacute, Thyrotoxicosis

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SYNDROMES OF THYROTOXICOSIS WITH LOW RADIOACTIVE IODINE UPTAKE

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