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Journal of the Royal Society of Medicine logoLink to Journal of the Royal Society of Medicine
. 1985 Mar;78(3):197–202. doi: 10.1177/014107688507800305

Low-dose 131I in treatment of Graves' disease.

C P Lowdell, H J Dobbs, G S Spathis, V R McCready, D O Cosgrove, C L Harmer
PMCID: PMC1289633  PMID: 3838347

Abstract

One hundred and sixty-four patients with Graves' disease were treated with low-dose radioiodine (2 mCi), with a mean follow up of 4 1/2 years. At this time 74 (45%) were euthyroid having had a single dose, with a total of 131 (80%) being controlled with one or more doses. Three (2%) were still toxic but their mean follow up was only 3 years. Thirty (18%) were rendered hypothyroid, two-thirds of these after a single dose of 2 mCi 131I. The one-year incidence of hypothyroidism was 6%, with an incidence at 6 years of 20%. Previous surgery, medical treatment and thyroid antibody status appeared to have no influence on the outcome.

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Selected References

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  1. BELING U., EINHORN J. Incidence of hypothyroidism and recurrences following I-131 treatment of hyperthyroidism. Acta radiol. 1961 Oct;56:275–288. doi: 10.3109/00016926109172822. [DOI] [PubMed] [Google Scholar]
  2. Beierwaltes W. H. The treatment of hyperthyroidism with iodine-131. Semin Nucl Med. 1978 Jan;8(1):95–103. doi: 10.1016/s0001-2998(78)80010-5. [DOI] [PubMed] [Google Scholar]
  3. Best J. D., Chan V., Khoo R., Teng C. S., Wang C., Yeung R. T. Incidence of hypothyroidism after radioactive iodine therapy for thyrotoxicosis in Hong Kong Chinese. Clin Radiol. 1981 Jan;32(1):57–61. doi: 10.1016/s0009-9260(81)80253-x. [DOI] [PubMed] [Google Scholar]
  4. Blair A. L., Lowe D. C., Hadden D. R., Weaver J. A., Montgomery D. A. Long term follow up of patients treated for hyperthyroidism with low dose radioactive iodine. Ulster Med J. 1980;49(1):71–78. [PMC free article] [PubMed] [Google Scholar]
  5. Cevallos J. L., Hagen G. A., Maloof F., Chapman E. M. Low-dosage 131-I therapy of thyrotoxicosis (diffuse goiters). A five-year follow-up study. N Engl J Med. 1974 Jan 17;290(3):141–143. doi: 10.1056/NEJM197401172900306. [DOI] [PubMed] [Google Scholar]
  6. DUNN J. T., CHAPMAN E. M. RISING INCIDENCE OF HYPOTHYROIDISM AFTER RADIOACTIVE-IODINE THERAPY IN THYROTOXICOSIS. N Engl J Med. 1964 Nov 12;271:1037–1042. doi: 10.1056/NEJM196411122712004. [DOI] [PubMed] [Google Scholar]
  7. Dobyns B. M., Sheline G. E., Workman J. B., Tompkins E. A., McConahey W. M., Becker D. V. Malignant and benign neoplasms of the thyroid in patients treated for hyperthyroidism: a report of the cooperative thyrotoxicosis therapy follow-up study. J Clin Endocrinol Metab. 1974 Jun;38(6):976–998. doi: 10.1210/jcem-38-6-976. [DOI] [PubMed] [Google Scholar]
  8. Glennon J. A., Gordon E. S., Sawin C. T. Hypothyroidism after low-dose 131 I treatment of hyperthyroidism. Ann Intern Med. 1972 May;76(5):721–723. doi: 10.7326/0003-4819-76-5-721. [DOI] [PubMed] [Google Scholar]
  9. Goolden A. W., Fraser T. R. Treatment of thyrotoxicosis with low doses of radioactive iodine. Br Med J. 1969 Aug 23;3(5668):442–443. doi: 10.1136/bmj.3.5668.442. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Hagen G. A., Ouellette R. P., Chapman E. M. Comparison of high and low dosage levels of 131-I in the treatment of thyrotoxicosis. N Engl J Med. 1967 Sep 14;277(11):559–562. doi: 10.1056/NEJM196709142771102. [DOI] [PubMed] [Google Scholar]
  11. Hamada N., Ito K., Mimura T., Momotani N., Nishikawa Y., Ino E., Ban Y., Tsuchiya T. [Longsterm results of 131I treatment of hyperthyroidism--factors influencing the incidence of hypothyroidism (author's transl)]. Kaku Igaku. 1979 Dec;16(8):1343–1353. [PubMed] [Google Scholar]
  12. Jafiol C., Baldet L., Papachristou C., Lavit C., Mirouze J. Traitement de la maladie de Basedow par l'association de faibles doses d'iode radioactif et d'antithyroïdiens de synthèse. A propose de 330 cas aven un recul de 20 ans. Ann Endocrinol (Paris) 1980 Nov-Dec;41(6):593–596. [PubMed] [Google Scholar]
  13. Kalk W. J., Durbach D., Kantor S., Levin J. Very low doses of radio-iodine for hyperthyroidism. Failure to prevent a high incidence of early hypothyroidism. S Afr Med J. 1980 Mar 29;57(13):479–482. [PubMed] [Google Scholar]
  14. Lundell G., Holm L. E. Hypothyroidism following 131I therapy for hyperthyroidism in relation to immunologic parameters. Acta Radiol Oncol. 1980;19(6):449–454. doi: 10.3109/02841868009130175. [DOI] [PubMed] [Google Scholar]
  15. MacFarlane I. A., Shalet S. M., Beardwell C. G., Khara J. S. Transient hypothyroidism after iodine-131 treatment for thyrotoxicosis. Br Med J. 1979 Aug 18;2(6187):421–421. doi: 10.1136/bmj.2.6187.421. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Nofal M. M., Beierwaltes W. H., Patno M. E. Treatment of hyperthyroidism with sodium iodide I-131. JAMA. 1966 Aug 22;197(8):605–610. [PubMed] [Google Scholar]
  17. Rapoport B., Caplan R., DeGroot L. J. Low-dose sodium iodide I 131 therapy in Graves disease. JAMA. 1973 Jun 18;224(12):1610–1613. [PubMed] [Google Scholar]
  18. Saenger E. L., Thoma G. E., Tompkins E. A. Incidence of leukemia following treatment of hyperthyroidism. Preliminary report of the Cooperative Thyrotoxicosis Therapy Follow-Up Study. JAMA. 1968 Sep 16;205(12):855–862. [PubMed] [Google Scholar]
  19. Safa A. M., Schumacher O. P., Rodriguez-Antunez A. Long-term follow-up results in children and adolescents treated with radioactive iodine (131I) for hyperthyroidism. N Engl J Med. 1975 Jan 23;292(4):167–171. doi: 10.1056/NEJM197501232920401. [DOI] [PubMed] [Google Scholar]
  20. San Marco J. L., Tobiana F., Dupin B., Simonin R. Le traitement de la maladie de Basedow par l'iode radio-actif. Surveillance de 277 patients de l à 23 ans. Ann Endocrinol (Paris) 1980 Nov-Dec;41(6):597–600. [PubMed] [Google Scholar]
  21. Sawers J. S., Toft A. D., Irvine W. J., Brown N. S., Seth J. Transient hypothyroidism after iodine-131 treatment of thyrotoxicosis. J Clin Endocrinol Metab. 1980 Feb;50(2):226–229. doi: 10.1210/jcem-50-2-226. [DOI] [PubMed] [Google Scholar]
  22. Smith R. N., Wilson G. M. Clinical trial of different doses of 131-I in treatment of thyrotoxicosis. Br Med J. 1967 Jan 21;1(5533):129–132. doi: 10.1136/bmj.1.5533.129. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Sugrue D., McEvoy M., Feely J., Drury M. I. Hyperthyroidism in the land of Graves: results of treatment by surgery, radio-iodine and carbimazole in 837 cases. Q J Med. 1980 Winter;49(193):51–61. [PubMed] [Google Scholar]

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