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Case Presentation Thyroid Nodule after RAI 6.8.1398

History

  • A 33-year old woman with history of hyperthyroidism, presented with thyroid nodule.
  • Her symptoms showed up for the first time in her 15th , as she described with palpitation, anxiety, tremors, weight loss.
  • As she said (without documentation)  she was diagnosed with hypothyroidism! And levothyroxine was prescribed.
  • For 1 yr. symptoms progressed and she lost about 20 kg, when she visited another physician and diagnosis of hyperthyroidism was made.
  • There is no documentation about type of hyperthyroidism.
  • She was treated with methimazole and propranolol for 6 month, then iodine was prescribed (dosage ?)
  • For 7 years she was drug free; then the symptoms relapsed although milder.
  • She describes that with diagnosis of hyperthyroidism relapse, she received iodine again after 8 month of methimazole and indral.
  • She reports at least 11 nodules in her thyroid ultrasound.
  • This time after 2 month of iodine therapy she became hypothyroid and levothyroxine was prescribed.
  • No FNA at this time