|LETTER TO THE EDITOR
|Year : 2019 | Volume
| Issue : 4 | Page : 353
Unilateral Graves' disease
VNSSVAMS D Mahalakshmi1, Sapana Bothra1, Aromal Chekavar1, Mallika Dhanda1, Sabaretnam Mayilvaganan2
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 Publication||23-Sep-2019|
Dr. Sabaretnam Mayilvaganan
Department of Endocrine and Breast Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh
Source of Support: None, Conflict of Interest: None
|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 2020 May 25];34:353. Available from: http://www.ijnm.in/text.asp?2019/34/4/353/267497
We read with interest the article, “Unilateral Graves' disease: The lesser known” by Manthri et al. We congratulate the authors on their new entity of unilateral Graves' disease 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. 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? How many of these patients had eye signs of Graves' disease and whether any of the patients underwent thyroidectomy?
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Conflicts of interest
There are no conflicts of interest.
| References|| |
Manthri RG, Ajit N, Vaikakkara S, Devi BV, Kalawat T. Unilateral Graves' disease: The lesser known. Indian J Nucl Med 2019;34:96-8.
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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.
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.