What is included in the long-term monitoring of patients with Graves disease?

Updated: Mar 23, 2018
  • Author: Sai-Ching Jim Yeung, MD, PhD, FACP; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Answer

Hyperthyroidism represents a continuum of thyroid dysfunction. In the case of thyroid storm, decompensated patients with hyperthyroidism should be cared for in an institution with personnel familiar with this disease.

All patients should receive long-term follow-up, regardless of the mode of therapy (ie, surgery, radioiodine, antithyroid drugs).

Close follow-up visits with monitoring of examination findings, thyroid hormone levels, and thyrotropin levels are required.

If the patient is on antithyroidal medication (eg, thioamides), liver function tests and CBC counts with differentials should be monitored based on the clinical situation.

Examination of the eyes should be a routine part of follow-up of these patients, given the lack of predictability of ophthalmopathy.

Smoking cessation techniques should be continued.


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