Endocrine Journal
Online ISSN : 1348-4540
Print ISSN : 0918-8959
ISSN-L : 0918-8959
ORIGINALS
Mild and Short Recurrence of Type II Amiodarone-induced Thyrotoxicosis in Three Patients Receiving Amiodarone Continuously for More Than 10 Years
Kanji SATOTsuyoshi SHIGANaoki MATSUDANoritaka ONODAKazue TAKANONobuhisa HAGIWARAHiroshi KASANUKI
Author information
JOURNAL FREE ACCESS

2006 Volume 53 Issue 4 Pages 531-538

Details
Abstract

Although there are two types of amiodarone-induced thyrotoxicosis (AIT), only type II AIT has been seen at our institution in Japan so far. There have been few case reports of AIT recurrence, probably because of the fact that amiodarone is immediately discontinued once AIT has developed. Our own policy is not to discontinue amiodarone in all AIT patients, unless severe adverse effects such as pulmonary fibrosis develop. Among more than 50 patients with type II AIT we have encountered, three with arrhythmogenic right ventricular cardiomyopathy showed AIT recurrence. In these patients, the first episode of AIT developed 3, 4, and 2 years after the start of amiodarone administration, and recurrence was observed 5, 6, and 8 years after the first episode, respectively. The AIT resolved spontaneously in all cases while the patients continued to take amiodarone. In comparison with the first AIT episode, the second was milder and resolved within a shorter period. These three cases suggest that recurrence of type II AIT may not be rare in iodine-sufficient areas, and that it is relatively mild and may resolve spontaneously. Furthermore, at least in Japan, it may be possible for patients with recurrent type II AIT to continue taking amiodarone.

Content from these authors
© The Japan Endocrine Society
Previous article Next article
feedback
Top