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LETTER TO THE EDITOR
Year : 2019  |  Volume : 34  |  Issue : 4  |  Page : 353  

Unilateral Graves' disease


1 Senior Resident, Assistant Professor, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
2 Department of Endocrine and Breast Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

Date of Web Publication23-Sep-2019

Correspondence Address:
Dr. Sabaretnam Mayilvaganan
Department of Endocrine and Breast Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijnm.IJNM_100_19

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How to cite this article:
Mahalakshmi VD, Bothra S, Chekavar A, Dhanda M, Mayilvaganan S. Unilateral Graves' disease. Indian J Nucl Med 2019;34:353

How to cite this URL:
Mahalakshmi VD, Bothra S, Chekavar A, Dhanda M, Mayilvaganan S. Unilateral Graves' disease. Indian J Nucl Med [serial online] 2019 [cited 2019 Oct 22];34:353. Available from: http://www.ijnm.in/text.asp?2019/34/4/353/267497



Sir,

We read with interest the article, “Unilateral Graves' disease: The lesser known” by Manthri et al.[1] We congratulate the authors on their new entity of unilateral Graves' disease[2] and also the possible explanations for unilateral Graves' disease. The knifehappy surgeons shall be happy that if surgery needed in these patients of unilateral Graves' disease, might be a hemithyroidectomy rather than total thyroidectomy, thereby preventing the complications of permanent hypoparathyroidism, which is more common with surgery for Graves' disease. On the contrary, there have been anecdotal reports of unilateral Graves' disease operated by hemithyroidectomy with consequent contralateral lobe recurrence.[3] We have few queries which shall benefit future readers.

What was the mean duration of symptoms in these patients and were the patient put on anti-thyroid drugs before the nuclear medicine consultation? Did the authors use the clinical findings or laboratory findings criteria for the diagnosis of Graves' disease as proposed by the Japan Thyroid Association?[4] How many of these patients had eye signs of Graves' disease and whether any of the patients underwent thyroidectomy?

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Manthri RG, Ajit N, Vaikakkara S, Devi BV, Kalawat T. Unilateral Graves' disease: The lesser known. Indian J Nucl Med 2019;34:96-8.  Back to cited text no. 1
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2.
Chen LC, Green JB. First reported case of unilateral Graves' disease in the left lobe of a bilobar thyroid gland. Thyroid 2011;21:683-6.  Back to cited text no. 2
    
3.
Sakata S, Fuwa Y, Goto S, Fukui M, Yuasa H, Takuno H, et al. Two cases of Graves' disease with presentation of unilateral diffuse uptake of radioisotopes. J Endocrinol Invest 1993;16:903-7.  Back to cited text no. 3
    
4.
Japan Thyroid Association. Japan Guidelines | Japan Thyroid Association; 2019. Available from: http://www.japanthyroid.jp/en/guidelines.html#Gra. [Last accessed on 2019 May 09].  Back to cited text no. 4
    




 

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