From the Research
Hyperthyroidism Hospitalization
- Hyperthyroidism is a condition where the thyroid gland produces and secretes inappropriately high amounts of thyroid hormone, which can lead to thyrotoxicosis 1.
- The treatment of hyperthyroidism depends on the recognition of the signs and symptoms of the disease and determination of the etiology 2.
- In most cases, hyperthyroidism can be managed effectively with antithyroid drugs or with definitive therapies such as radioactive iodine ablation or thyroidectomy 3.
- However, there are certain situations where hospitalization is required, such as in the case of a thyroid storm, which is a life-threatening complication of unmanaged or inadequately managed hyperthyroidism 3, 1, 4.
- A thyroid storm is a rare but life-threatening condition that can occur with thyrotoxicosis and must be treated with a multidisciplinary approach and ultimately, definitive treatment of the hyperthyroidism 1.
- Hospitalization is also necessary for patients who are pregnant, have Graves' ophthalmopathy, or have other complications such as atrial fibrillation or thyrotoxic periodic paralysis 2, 5.
Special Considerations
- Patients with hyperthyroidism who are misdiagnosed with other conditions, such as panic disorder, may require hospitalization if their condition worsens and they develop severe symptoms such as thyroid storm 4.
- Proper diagnosis of thyroid disease in patients with mental illness can lead to appropriate treatment and prevent misdiagnosis and delayed treatment 4.
- Patients with hyperthyroidism who have cardiovascular manifestations, such as hypertension and tachycardia, require early treatment to prevent significant cardiovascular events 1.