Iodinated contrast media-induced hyperthyroidism

Authors

DOI:

https://doi.org/10.20883/medical.e439

Keywords:

thyroid, iodine, hyperthyroidism, iodinated contrast media, iodine-induced hyperthyroidism, prophylactic therapy

Abstract

Currently, iodinated contrast media (ICM) is widely used in radiology, therefore numerous patients are exposed to contrast administration during diagnostic and interventional procedures. ICM contains an amount of iodine well above the recommended dietary allowance, which can lead to thyroid dysfunction. Indeed, individuals that are highly susceptible to increased iodine intake are often patients with pre-existing thyroid disease. ICM-induced hyperthyroidism (IIH) is usually transient, however, it may present as clinically significant thyrotoxicosis. Although IIH has been investigated in multiple studies, there is still a lack of consensus regarding prophylactic therapy of IIH and no specific guidelines. This review aimed to summarise previous literature concerning the influence of ICM exposure on thyroid status and prophylactic therapy of IIH.

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Author Biography

Piotr Miśkiewicz, Department of Internal Medicine and Endocrinology, Medical University of Warsaw, Poland

Piotr Miśkiewicz, MD, PhD
Department of Internal Medicine and Endocrinology
Medical University of Warsaw
Banacha St. 1a, 02-097 Warsaw, Poland
Phone: +48225992975
Fax: +48225991975
email: piotr.miskiewicz@wum.edu.pl

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How to Cite

1.
Pelewicz K, Miśkiewicz P. Iodinated contrast media-induced hyperthyroidism. JMS [Internet]. 2020 Jun. 30 [cited 2023 Feb. 4];89(2):e439. Available from: https://jms.ump.edu.pl/index.php/JMS/article/view/439

Issue

Section

Review Papers
Received 2020-06-07
Published 2020-06-30