Relapse of Graves' Disease Following Development of a Pheochromocytoma
Catecholamines stimulate thyroid hormone synthesis as well as release of thyroid hormone and cause immunologie disturbances that possibly contribute to the manifestations of Graves' disease. This has led to repeated speculations about the possible role of catecholamines in the initiation and ma...
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| Veröffentlicht in: | Thyroid (New York, N.Y.) N.Y.), 1992, Vol.2 (3), p.23-206 |
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| creator | PASCHKE, R ENGER HARSCH USADEL, KH |
| description | Catecholamines stimulate thyroid hormone synthesis as well as release of thyroid hormone and cause immunologie disturbances that possibly contribute to the manifestations of Graves' disease. This has led to repeated speculations about the possible role of catecholamines in the initiation and maintenance of hyperthyroidism. We describe a patient with Graves' disease who was treated with antithyroid drugs for 2 years. After withdrawal of antithyroid drugs, the patient was in remission for 5 years. After the antithyroid drug treatment and the long remission, the probability of relapse of Graves' disease was very low. Nonetheless, a relapse did occur. Two years after subtotal thyroid resection, further investigation because of persistent hypertension revealed a pheochromocytoma. Retrospective anamnestic data suggest that this pheochromocytoma had been present 2 years before the patient's relapse of Graves' disease. This sequence of diseases has not been described previously. The low probability for a Graves' disease relapse in this patient and the association of this patient's relapse with the manifestation of a pheochromocytoma suggest a possible etiologic role of excess catecholanline production in the relapse of Graves' disease. |
| doi_str_mv | 10.1089/thy.1992.2.203 |
| format | Article |
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This has led to repeated speculations about the possible role of catecholamines in the initiation and maintenance of hyperthyroidism. We describe a patient with Graves' disease who was treated with antithyroid drugs for 2 years. After withdrawal of antithyroid drugs, the patient was in remission for 5 years. After the antithyroid drug treatment and the long remission, the probability of relapse of Graves' disease was very low. Nonetheless, a relapse did occur. Two years after subtotal thyroid resection, further investigation because of persistent hypertension revealed a pheochromocytoma. Retrospective anamnestic data suggest that this pheochromocytoma had been present 2 years before the patient's relapse of Graves' disease. This sequence of diseases has not been described previously. The low probability for a Graves' disease relapse in this patient and the association of this patient's relapse with the manifestation of a pheochromocytoma suggest a possible etiologic role of excess catecholanline production in the relapse of Graves' disease.</description><identifier>ISSN: 1050-7256</identifier><identifier>EISSN: 1557-9077</identifier><identifier>DOI: 10.1089/thy.1992.2.203</identifier><identifier>PMID: 1422232</identifier><language>eng</language><publisher>LARCHMONT: MARY ANN LIEBERT INC PUBL</publisher><subject>Adrenal Gland Neoplasms - complications ; Adrenal Gland Neoplasms - diagnostic imaging ; Adult ; Endocrinology & Metabolism ; Female ; Graves Disease - complications ; Graves Disease - diagnostic imaging ; Humans ; Life Sciences & Biomedicine ; Pheochromocytoma - complications ; Science & Technology ; Tomography, X-Ray Computed</subject><ispartof>Thyroid (New York, N.Y.), 1992, Vol.2 (3), p.23-206</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>3</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wosA1992JR80600005</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c401t-acd5a9521e9c67a976ff8cfd2382f16448eaccbe8668ebf2acf9708bfe8c56d03</citedby><cites>FETCH-LOGICAL-c401t-acd5a9521e9c67a976ff8cfd2382f16448eaccbe8668ebf2acf9708bfe8c56d03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.liebertpub.com/doi/epdf/10.1089/thy.1992.2.203$$EPDF$$P50$$Gmaryannliebert$$H</linktopdf><linktohtml>$$Uhttps://www.liebertpub.com/doi/full/10.1089/thy.1992.2.203$$EHTML$$P50$$Gmaryannliebert$$H</linktohtml><link.rule.ids>315,781,785,3043,4025,21727,27196,27927,27928,27929,55295,55307</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1422232$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>PASCHKE, R</creatorcontrib><creatorcontrib>ENGER</creatorcontrib><creatorcontrib>HARSCH</creatorcontrib><creatorcontrib>USADEL, KH</creatorcontrib><title>Relapse of Graves' Disease Following Development of a Pheochromocytoma</title><title>Thyroid (New York, N.Y.)</title><addtitle>THYROID</addtitle><addtitle>Thyroid</addtitle><description>Catecholamines stimulate thyroid hormone synthesis as well as release of thyroid hormone and cause immunologie disturbances that possibly contribute to the manifestations of Graves' disease. This has led to repeated speculations about the possible role of catecholamines in the initiation and maintenance of hyperthyroidism. We describe a patient with Graves' disease who was treated with antithyroid drugs for 2 years. After withdrawal of antithyroid drugs, the patient was in remission for 5 years. After the antithyroid drug treatment and the long remission, the probability of relapse of Graves' disease was very low. Nonetheless, a relapse did occur. Two years after subtotal thyroid resection, further investigation because of persistent hypertension revealed a pheochromocytoma. Retrospective anamnestic data suggest that this pheochromocytoma had been present 2 years before the patient's relapse of Graves' disease. This sequence of diseases has not been described previously. The low probability for a Graves' disease relapse in this patient and the association of this patient's relapse with the manifestation of a pheochromocytoma suggest a possible etiologic role of excess catecholanline production in the relapse of Graves' disease.</description><subject>Adrenal Gland Neoplasms - complications</subject><subject>Adrenal Gland Neoplasms - diagnostic imaging</subject><subject>Adult</subject><subject>Endocrinology & Metabolism</subject><subject>Female</subject><subject>Graves Disease - complications</subject><subject>Graves Disease - diagnostic imaging</subject><subject>Humans</subject><subject>Life Sciences & Biomedicine</subject><subject>Pheochromocytoma - complications</subject><subject>Science & Technology</subject><subject>Tomography, X-Ray Computed</subject><issn>1050-7256</issn><issn>1557-9077</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EZCTM</sourceid><sourceid>EIF</sourceid><recordid>eNqNkEtLxDAUhYMo43PrTuhKF9IxjzZJlzI6PhhQBl2XNL1xKm0zNqnD_HtTKrrU3EUuOd85hIPQKcFTgmV25VfbKckyOg2D2Q46IGkq4gwLsRt2nOJY0JTvo0Pn3jEmXAo2QROSUEoZPUDzJdRq7SCyJrrr1Ce4i-imcqDC09zWtd1U7Vt0A59Q23UDrR9AFT2vwOpVZxurt9426hjtGVU7OPm-j9Dr_PZldh8vnu4eZteLWCeY-FjpMlVZSglkmguVCW6M1KakTFJDeJJIUFoXIDmXUBiqtMkEloUBqVNeYnaEzsfcdWc_enA-byqnoa5VC7Z3uWAMM05JAKcjqDvrXAcmX3dVo7ptTnA-FJeH4vKhuDwMZsFw9p3cFw2Uv_jYVNDlqG-gsMbpCloNP9T1kPS4lJjjcNJZ5ZWvbDuzfeuD9fL_1kAnIz2oqm3rCgro_F___wJKN50p</recordid><startdate>1992</startdate><enddate>1992</enddate><creator>PASCHKE, R</creator><creator>ENGER</creator><creator>HARSCH</creator><creator>USADEL, KH</creator><general>MARY ANN LIEBERT INC PUBL</general><scope>BLEPL</scope><scope>DTL</scope><scope>EZCTM</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1992</creationdate><title>Relapse of Graves' Disease Following Development of a Pheochromocytoma</title><author>PASCHKE, R ; ENGER ; HARSCH ; USADEL, KH</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c401t-acd5a9521e9c67a976ff8cfd2382f16448eaccbe8668ebf2acf9708bfe8c56d03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adrenal Gland Neoplasms - complications</topic><topic>Adrenal Gland Neoplasms - diagnostic imaging</topic><topic>Adult</topic><topic>Endocrinology & Metabolism</topic><topic>Female</topic><topic>Graves Disease - complications</topic><topic>Graves Disease - diagnostic imaging</topic><topic>Humans</topic><topic>Life Sciences & Biomedicine</topic><topic>Pheochromocytoma - complications</topic><topic>Science & Technology</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>PASCHKE, R</creatorcontrib><creatorcontrib>ENGER</creatorcontrib><creatorcontrib>HARSCH</creatorcontrib><creatorcontrib>USADEL, KH</creatorcontrib><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 1992</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Thyroid (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>PASCHKE, R</au><au>ENGER</au><au>HARSCH</au><au>USADEL, KH</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relapse of Graves' Disease Following Development of a Pheochromocytoma</atitle><jtitle>Thyroid (New York, N.Y.)</jtitle><stitle>THYROID</stitle><addtitle>Thyroid</addtitle><date>1992</date><risdate>1992</risdate><volume>2</volume><issue>3</issue><spage>23</spage><epage>206</epage><pages>23-206</pages><issn>1050-7256</issn><eissn>1557-9077</eissn><abstract>Catecholamines stimulate thyroid hormone synthesis as well as release of thyroid hormone and cause immunologie disturbances that possibly contribute to the manifestations of Graves' disease. This has led to repeated speculations about the possible role of catecholamines in the initiation and maintenance of hyperthyroidism. We describe a patient with Graves' disease who was treated with antithyroid drugs for 2 years. After withdrawal of antithyroid drugs, the patient was in remission for 5 years. After the antithyroid drug treatment and the long remission, the probability of relapse of Graves' disease was very low. Nonetheless, a relapse did occur. Two years after subtotal thyroid resection, further investigation because of persistent hypertension revealed a pheochromocytoma. Retrospective anamnestic data suggest that this pheochromocytoma had been present 2 years before the patient's relapse of Graves' disease. This sequence of diseases has not been described previously. The low probability for a Graves' disease relapse in this patient and the association of this patient's relapse with the manifestation of a pheochromocytoma suggest a possible etiologic role of excess catecholanline production in the relapse of Graves' disease.</abstract><cop>LARCHMONT</cop><pub>MARY ANN LIEBERT INC PUBL</pub><pmid>1422232</pmid><doi>10.1089/thy.1992.2.203</doi><tpages>184</tpages></addata></record> |
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| source | Web of Science - Science Citation Index Expanded - 1992<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" />; Mary Ann Liebert Online Subscription; MEDLINE |
| subjects | Adrenal Gland Neoplasms - complications Adrenal Gland Neoplasms - diagnostic imaging Adult Endocrinology & Metabolism Female Graves Disease - complications Graves Disease - diagnostic imaging Humans Life Sciences & Biomedicine Pheochromocytoma - complications Science & Technology Tomography, X-Ray Computed |
| title | Relapse of Graves' Disease Following Development of a Pheochromocytoma |
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