Table 3.
Case Reports of Methimazole- or Carbimazole-Induced Acute Pancreatitis
| Authors | Reporting year | Ethnicity | Age | Sex | Diagnosis | Time of symptom onset | Drug | Dose (mg) | Management |
|---|---|---|---|---|---|---|---|---|---|
| Taguchi et al. (3) | 1999 | Japanese | 66 | W | Graves' disease | 21 days 3 hours after 2nd dose |
MMI | 30 10a |
PTU |
| Marazuela et al. (4) | 2002 | Spanish | 33 | W | Graves' disease | 30 days 1 day |
Carbimazole | 45 10a |
RAI |
| Su et al. (5) | 2008 | Chinese | 19 | W | Graves' disease | 75 days | MMI | 10 | RAI |
| Chng et al. (6) | 2011 | Asian | 70 | W | Graves' disease | 14 days | Carbimazole | 30 | RAI |
| Abraham et al. (7) | 2012 | Caucasian | 80 | W | Unspecified | 90 days | MMI | 10 | Unspecified |
| Yang et al. (8) | 2012 | Chinese | 18 | W | Graves' disease | 4 days Within 1 day |
MMI | 20 10b 10b 10b |
PTU |
| Jung et al. (9) | 2014 | Korean | 51 | M | Graves' disease | 14 days 5 hours | MMI | 20 10a |
Unspecified |
| Agito et al. (10) | 2015 | Caucasian | 51 | W | Toxic MNG | 21 days 5 days |
MMI | 10 10a |
RAI |
| Kikuchi et al. (11) | 2018 | Japanese | 76 | W | Graves' disease | 19 days | MMI | 10 | Potassium iodide |
There is no report of recurrent rate of acute pancreatitis in patients who were not re-exposed to thionamides.
Rechallenged.
Rechallenged three times at different times by three physicians.
M, men; MMI, methimazole; MNG, multinodular goiter; PTU, propylthiouracil; RAI, radioactive iodine; W, women.