Comments algorithm
1. Toxic goiter (DTG), organ-specific autoimmune
disease characterized by persistent pathological increase
production of thyroid hormones, usually diffusely enlarged thyroid gland.
2. The first step in diagnosis of Graves' disease is a confirmation of thyrotoxicosis.
In diffuse toxic goiter notes the increasing levels of free T 4
and decreased thyroid-stimulating hormone.
3. The next stage of Graves' disease diagnosis is to conduct an ultrasound
study of thyroid gland, which aims to determine the amount
thyroid, confirmation of the reduction of echogenicity of diffuse tissue
cancer and identification of existing nodules.
4. If you suspect the presence of part or all of retrosternal goiter and
also in the presence of nodules with the aim of differential diagnosis of Graves' disease and
functional autonomy of the thyroid gland scintigraphy is carried out.
5. The main treatments for Graves' disease using thyreostatics, surgical treatment
thyreostatics previous training and therapy with radioactive iodine
.
6. Conservative treatment is carried out for 1,5 years with
high starting doses thyreostatics (tiamazol 3040 mg / day) with
subsequent transition to the regime