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Med J Bakirkoy. 2014; 10(2): 75-77


Radioiodine therapy for hyperthyroidism in a patient with end-stage renal disease on hemodialysis: case report

Müge Tamam, Mehmet Mülazımoğlu, Nurcan Edis, Ercan Uyanık, Tevfik Özpaçacı.

Abstract
Toxic nodular goiter is a rare entity in end-stage renal disaese (ESRD) patients. In ESRD patients, hypothyroidism is generally seen, whereas hyperthyroidism is rare. Treatment with radioactive iodine (RAI) may be necessary for hyperthyroidism in patients with end-stage renal disease who require haemodialysis. Because RAI is cleared mainly by the kidneys in patients with normal renal function, many problems may (issues) arise in patients who are on hemodialysis but require RAI treatment. We present an ESRD patient with hyperthyroidism who is receiving hemodialysis treated with radioiodine therapy.

Key words: Hyperthyroidism, hemodialysis, radioiodine theraphy



Hemodiyalize giren son dönem böbrek hastalığı olan hipertiroidili bir olguda radyoaktif iyot ile tedavi: Olgu sunumu

Özet
Toksik nodüler guatr son dönem böbrek yetmezliği hastalığında nadir görülen bir durumdur. Son dönem böbrek yetmezliği olan hastalarda, genellikle hipotiroidizm görülürken hipertiroidi nadirdir. Hemodiyaliz ile tedavi edilen son dönem böbrek hastalığı olan hipertiroidi hastalarında radyoaktif iyot (RAI) tedavisi gerekli olabilir. RAI, özellikle böbrek fonksiyonu normal olan hastalarda böbrekler tarafından temizlendiğinden, hemodiyaliz hastası olup RAI tedavisi alanlarda çeşitli problemler ortaya çıkabilmektedir. Hipertiroidi hastalığı radyoaktif iyot tedavisi ile tedavi edilen ve hemodiyalize giren son dönem böbrek yetmezliği hastası sunulmuştur.

Anahtar Kelimeler: Hipertiroidi, hemodiyaliz, radyoaktif iyot tedavisi



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