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10.1155/2015/869343 http://scihub22266oqcxt.onion/10.1155/2015/869343 C4575726!4575726!26425375     free     free     free Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Case+Rep+Endocrinol 2015 ; 2015 (ä): ä Nephropedia Template TP {{tp|p=26425375|t=2015. Lithium as an Alternative Option in Graves Thyrotoxicosis |pdf=|usr=}}{{26425375}} gab.com Text Lithium as an Alternative Option in Graves Thyrotoxicosis JO: Case Rep Endocrinol http://www.kidney.de/pget.php?&tw=1&pmid=26425375 #FOAvip A 67-year-old woman was admitted with signs and symptoms of Graves thyrotoxicosis. Biochemistry results were as follows: TSH was undetectable; FT4 was >6.99?ng/dL (0.7?1.8); FT3 was 18?pg/mL (3?5); TSI was 658% (0?139). Thyroid uptake and scan showed diffusely increased tracer uptake in the thyroid gland. The patient was started on methimazole 40?mg BID, but her LFTs elevated precipitously with features of fulminant hepatitis. Methimazole was determined to be the cause and was stopped. After weighing pros and cons, lithium was initiated to treat her persistent thyrotoxicosis. Lithium 300?mg was given daily with a goal to maintain between 0.4 and 0.6. High dose Hydrocortisone and propranolol were also administered concomitantly. Free thyroid hormone levels decreased and the patient reached a biochemical and clinical euthyroid state in about 8 days. Though definitive RAI was planned, the patient has been maintained on lithium for more than a month to control her hyperthyroidism. Trial removal of lithium results in reemergence of thyrotoxicosis within 24 hours. Patient was maintained on low dose lithium treatment with lithium level just below therapeutic range which was sufficient to maintain euthyroid state for more than a month. There were no signs of lithium toxicity within this time period. Conclusion. Lithium has a unique physiologic profile and can be used to treat thyrotoxicosis when thionamides cannot be used while awaiting elective radioablation. Lithium levels need to be monitored; however, levels even at subtherapeutic range may be sufficient to treat thyrotoxicosis. Twit Text FOAVip Lithium as an Alternative Option in Graves Thyrotoxicosis ????Case Rep Endocrinol http://www.kidney.de/pget.php?&tw=1&pmid=26425375 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26425375 #FOAvip English Wikipedia <ref>{{Cite pmid|26425375}}</ref> Lithium as an Alternative Option in Graves Thyrotoxicosis #MMPMID26425375 Prakash I; Nylen ES; Sen S Case Rep Endocrinol 2015[]; 2015 (ä): ä PMID26425375show ga A 67-year-old woman was admitted with signs and symptoms of Graves thyrotoxicosis. Biochemistry results were as follows: TSH was undetectable; FT4 was >6.99?ng/dL (0.7?1.8); FT3 was 18?pg/mL (3?5); TSI was 658% (0?139). Thyroid uptake and scan showed diffusely increased tracer uptake in the thyroid gland. The patient was started on methimazole 40?mg BID, but her LFTs elevated precipitously with features of fulminant hepatitis. Methimazole was determined to be the cause and was stopped. After weighing pros and cons, lithium was initiated to treat her persistent thyrotoxicosis. Lithium 300?mg was given daily with a goal to maintain between 0.4 and 0.6. High dose Hydrocortisone and propranolol were also administered concomitantly. Free thyroid hormone levels decreased and the patient reached a biochemical and clinical euthyroid state in about 8 days. Though definitive RAI was planned, the patient has been maintained on lithium for more than a month to control her hyperthyroidism. Trial removal of lithium results in reemergence of thyrotoxicosis within 24 hours. Patient was maintained on low dose lithium treatment with lithium level just below therapeutic range which was sufficient to maintain euthyroid state for more than a month. There were no signs of lithium toxicity within this time period. Conclusion. Lithium has a unique physiologic profile and can be used to treat thyrotoxicosis when thionamides cannot be used while awaiting elective radioablation. Lithium levels need to be monitored; however, levels even at subtherapeutic range may be sufficient to treat thyrotoxicosis. äLithium as an Alternative Option in Graves Thyrotoxicosis (epmc).pdf DeepDyve Pubget Overpricing