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Article
October 1975

Individual Therapy for Patients With Hyperthyroidism

Author Affiliations

Elmhurst, NY

Arch Intern Med. 1975;135(10):1405. doi:10.1001/archinte.1975.00330100131021

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Abstract

To the Editor.  —I disagree with the method of treatment of hyperthyroidism described in the recent article in the Archives by Ali M. Safa, MD, and Penn G. Skillern, MD (135:673-675, 1975). Instead of this large initial dose, I individualize the therapy for each patient. In the first 100 patients treated at Queens Hospital Center, Jamaica, NY, the immediate incidence of hypothyroidism was 5% and 11% the first five years for the same 100 patients.In 70% of our cases, one dosage was sufficient to bring the patient to a euthyroid state. In another 25%, a second dosage was given, rarely was a third necessary. Our usual dosage ranged from 2 to 15 millicuries of sodium iodide I 131. In the treatment schedule, the most important factor was whether or not the thyroid gland was nodular. As a rule, I found that a dosage of 2.5 millicuries of sodium iodide

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