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Herveacute Monpeyssen
AHP
Eacutecho-Doppler thyroiumldien impact sur la prise en charge des hyperthyroiumldies iodo-induites
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2
Meacutecanismes I- laquo carburant raquo Iodo-toxique
Thyropathie GoitreTAI autonome
non
Anticorps +- non
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente
~ 0
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien)
Echo mode B Selon thyropathie
Echodoppler Pattern + agrave +++
Doppler pulseacute VS LSN agrave eacuteleveacutees
SFR-IDF 05 avril 2012
Homme 88a
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2
Meacutecanismes I- laquo carburant raquo Iodo-toxique
Thyropathie GoitreTAI autonome
non
Anticorps +- non
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente
~ 0
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien)
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
Echodoppler Pattern + agrave +++ avasculaire
Doppler pulseacute VS LSN agrave eacuteleveacutees Non acceacuteleacutereacutee
SFR-IDF 05 avril 2012
0
05
1
15
2
25
3
35
4
45
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Seacuterie1
Seacuterie2
TSH T4L
Ngdl
06 07 08 09 2010 111
Amiodarone 800cp CRT
60mg
0
5
10
15
20
25
1 2 3 4 5 6 7 8 9 10 11 12
Volume ml HII Type 2
Homme 68 ans
astheacutenie
-5 k
Toux ( asbestose)
SFR-IDF 05 avril 2012
Preservation of Echogenicity in Type II Amiodarone-Induced Thyrotoxicosis Possible Histopathological Basis Wai Yin Wong JCEM 2010 95(11)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Amiodarone
Traitement classique
laquo choc agrave lrsquoiode raquo
SFR-IDF 05 avril 2012
Isabelle S 55 ans
Traiteacutee par 18 cp de Cordarone (en 36 heures) Puis 120 mg propranolol
Dosage TSH (la veille) lt005
T4L LSNx2 TRAK h 48(lt2)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Nombre 21 Type Traitement Euthyroiumldie
AIT1 11
10 NT-1 B Methimazole40
+- Perchlorate
1011
(1DC preacutecoce)
AIT2 10 6 Volume N
3 goitres
1 GMHN
Prednisone 4O 1010
Etude reacutetrospective sur AIT 21 patients ( 1110) 19992006 Mono-opeacuterateur En aveugle
Publications
Color-flow Doppler Sonographyin the Diffeacuterential Diagnosis and Management of Amiodarone-Induced Thyrotoxicosis LOW M ampal Acta Radiologica 2007 (6)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode Meacutemoire DIU Thyroiumldologie 2012 Ameacutelie RYNDAK
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
Clin Nucl Med 1988 Apr13(4)258-9
Gallium uptake in the thyroid gland in amiodarone-induced hyperthyroidism Ling MC Dake MD Okerlund MD
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
99mTc-Mibi
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2 Hyper Type 3
Freacutequence Baisse Hausse
Meacutecanismes I- laquo carburant raquo Iodo-toxique Mixte
Thyropathie GoitreTAI autonome
non oui
Anticorps +- non +-
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente ~ 0 variable
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien) Corticoiumldes + ATS
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
variable
Echodoppler Pattern + agrave +++ avasculaire variable
Doppler pulseacute LSN agrave eacuteleveacutees Non acceacuteleacutereacutee variable
Sesta MIBI Fixation MIBI Fixation = 0 +- gt inteacuterecirct Dc ++
SFR-IDF 05 avril 2012
Autres critegraveres Elizabeth N Pearce Fausto Bogazzi Enio Martino Sandra BrogioniEnia
Pardini Giovanni PellegriniArthur B Parkes John H Lazarus Aldo Pinchera and Lewis E Braverman
The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Non inflammatoryThyroid Disease
Thyroid Volume 13 Number 7 2003
Bartalena LGrasso L Aghini-Lombardi FBraverman L EMartino E
Serum interleukin-6 in amiodarone-induced thyrotoxicosis
J Clin Endocrinol Metab 1994 78(2)
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2
Meacutecanismes I- laquo carburant raquo Iodo-toxique
Thyropathie GoitreTAI autonome
non
Anticorps +- non
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente
~ 0
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien)
Echo mode B Selon thyropathie
Echodoppler Pattern + agrave +++
Doppler pulseacute VS LSN agrave eacuteleveacutees
SFR-IDF 05 avril 2012
Homme 88a
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2
Meacutecanismes I- laquo carburant raquo Iodo-toxique
Thyropathie GoitreTAI autonome
non
Anticorps +- non
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente
~ 0
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien)
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
Echodoppler Pattern + agrave +++ avasculaire
Doppler pulseacute VS LSN agrave eacuteleveacutees Non acceacuteleacutereacutee
SFR-IDF 05 avril 2012
0
05
1
15
2
25
3
35
4
45
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Seacuterie1
Seacuterie2
TSH T4L
Ngdl
06 07 08 09 2010 111
Amiodarone 800cp CRT
60mg
0
5
10
15
20
25
1 2 3 4 5 6 7 8 9 10 11 12
Volume ml HII Type 2
Homme 68 ans
astheacutenie
-5 k
Toux ( asbestose)
SFR-IDF 05 avril 2012
Preservation of Echogenicity in Type II Amiodarone-Induced Thyrotoxicosis Possible Histopathological Basis Wai Yin Wong JCEM 2010 95(11)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Amiodarone
Traitement classique
laquo choc agrave lrsquoiode raquo
SFR-IDF 05 avril 2012
Isabelle S 55 ans
Traiteacutee par 18 cp de Cordarone (en 36 heures) Puis 120 mg propranolol
Dosage TSH (la veille) lt005
T4L LSNx2 TRAK h 48(lt2)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Nombre 21 Type Traitement Euthyroiumldie
AIT1 11
10 NT-1 B Methimazole40
+- Perchlorate
1011
(1DC preacutecoce)
AIT2 10 6 Volume N
3 goitres
1 GMHN
Prednisone 4O 1010
Etude reacutetrospective sur AIT 21 patients ( 1110) 19992006 Mono-opeacuterateur En aveugle
Publications
Color-flow Doppler Sonographyin the Diffeacuterential Diagnosis and Management of Amiodarone-Induced Thyrotoxicosis LOW M ampal Acta Radiologica 2007 (6)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode Meacutemoire DIU Thyroiumldologie 2012 Ameacutelie RYNDAK
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
Clin Nucl Med 1988 Apr13(4)258-9
Gallium uptake in the thyroid gland in amiodarone-induced hyperthyroidism Ling MC Dake MD Okerlund MD
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
99mTc-Mibi
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2 Hyper Type 3
Freacutequence Baisse Hausse
Meacutecanismes I- laquo carburant raquo Iodo-toxique Mixte
Thyropathie GoitreTAI autonome
non oui
Anticorps +- non +-
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente ~ 0 variable
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien) Corticoiumldes + ATS
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
variable
Echodoppler Pattern + agrave +++ avasculaire variable
Doppler pulseacute LSN agrave eacuteleveacutees Non acceacuteleacutereacutee variable
Sesta MIBI Fixation MIBI Fixation = 0 +- gt inteacuterecirct Dc ++
SFR-IDF 05 avril 2012
Autres critegraveres Elizabeth N Pearce Fausto Bogazzi Enio Martino Sandra BrogioniEnia
Pardini Giovanni PellegriniArthur B Parkes John H Lazarus Aldo Pinchera and Lewis E Braverman
The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Non inflammatoryThyroid Disease
Thyroid Volume 13 Number 7 2003
Bartalena LGrasso L Aghini-Lombardi FBraverman L EMartino E
Serum interleukin-6 in amiodarone-induced thyrotoxicosis
J Clin Endocrinol Metab 1994 78(2)
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2
Meacutecanismes I- laquo carburant raquo Iodo-toxique
Thyropathie GoitreTAI autonome
non
Anticorps +- non
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente
~ 0
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien)
Echo mode B Selon thyropathie
Echodoppler Pattern + agrave +++
Doppler pulseacute VS LSN agrave eacuteleveacutees
SFR-IDF 05 avril 2012
Homme 88a
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2
Meacutecanismes I- laquo carburant raquo Iodo-toxique
Thyropathie GoitreTAI autonome
non
Anticorps +- non
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente
~ 0
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien)
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
Echodoppler Pattern + agrave +++ avasculaire
Doppler pulseacute VS LSN agrave eacuteleveacutees Non acceacuteleacutereacutee
SFR-IDF 05 avril 2012
0
05
1
15
2
25
3
35
4
45
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Seacuterie1
Seacuterie2
TSH T4L
Ngdl
06 07 08 09 2010 111
Amiodarone 800cp CRT
60mg
0
5
10
15
20
25
1 2 3 4 5 6 7 8 9 10 11 12
Volume ml HII Type 2
Homme 68 ans
astheacutenie
-5 k
Toux ( asbestose)
SFR-IDF 05 avril 2012
Preservation of Echogenicity in Type II Amiodarone-Induced Thyrotoxicosis Possible Histopathological Basis Wai Yin Wong JCEM 2010 95(11)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Amiodarone
Traitement classique
laquo choc agrave lrsquoiode raquo
SFR-IDF 05 avril 2012
Isabelle S 55 ans
Traiteacutee par 18 cp de Cordarone (en 36 heures) Puis 120 mg propranolol
Dosage TSH (la veille) lt005
T4L LSNx2 TRAK h 48(lt2)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Nombre 21 Type Traitement Euthyroiumldie
AIT1 11
10 NT-1 B Methimazole40
+- Perchlorate
1011
(1DC preacutecoce)
AIT2 10 6 Volume N
3 goitres
1 GMHN
Prednisone 4O 1010
Etude reacutetrospective sur AIT 21 patients ( 1110) 19992006 Mono-opeacuterateur En aveugle
Publications
Color-flow Doppler Sonographyin the Diffeacuterential Diagnosis and Management of Amiodarone-Induced Thyrotoxicosis LOW M ampal Acta Radiologica 2007 (6)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode Meacutemoire DIU Thyroiumldologie 2012 Ameacutelie RYNDAK
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
Clin Nucl Med 1988 Apr13(4)258-9
Gallium uptake in the thyroid gland in amiodarone-induced hyperthyroidism Ling MC Dake MD Okerlund MD
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
99mTc-Mibi
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2 Hyper Type 3
Freacutequence Baisse Hausse
Meacutecanismes I- laquo carburant raquo Iodo-toxique Mixte
Thyropathie GoitreTAI autonome
non oui
Anticorps +- non +-
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente ~ 0 variable
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien) Corticoiumldes + ATS
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
variable
Echodoppler Pattern + agrave +++ avasculaire variable
Doppler pulseacute LSN agrave eacuteleveacutees Non acceacuteleacutereacutee variable
Sesta MIBI Fixation MIBI Fixation = 0 +- gt inteacuterecirct Dc ++
SFR-IDF 05 avril 2012
Autres critegraveres Elizabeth N Pearce Fausto Bogazzi Enio Martino Sandra BrogioniEnia
Pardini Giovanni PellegriniArthur B Parkes John H Lazarus Aldo Pinchera and Lewis E Braverman
The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Non inflammatoryThyroid Disease
Thyroid Volume 13 Number 7 2003
Bartalena LGrasso L Aghini-Lombardi FBraverman L EMartino E
Serum interleukin-6 in amiodarone-induced thyrotoxicosis
J Clin Endocrinol Metab 1994 78(2)
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2
Meacutecanismes I- laquo carburant raquo Iodo-toxique
Thyropathie GoitreTAI autonome
non
Anticorps +- non
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente
~ 0
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien)
Echo mode B Selon thyropathie
Echodoppler Pattern + agrave +++
Doppler pulseacute VS LSN agrave eacuteleveacutees
SFR-IDF 05 avril 2012
Homme 88a
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2
Meacutecanismes I- laquo carburant raquo Iodo-toxique
Thyropathie GoitreTAI autonome
non
Anticorps +- non
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente
~ 0
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien)
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
Echodoppler Pattern + agrave +++ avasculaire
Doppler pulseacute VS LSN agrave eacuteleveacutees Non acceacuteleacutereacutee
SFR-IDF 05 avril 2012
0
05
1
15
2
25
3
35
4
45
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Seacuterie1
Seacuterie2
TSH T4L
Ngdl
06 07 08 09 2010 111
Amiodarone 800cp CRT
60mg
0
5
10
15
20
25
1 2 3 4 5 6 7 8 9 10 11 12
Volume ml HII Type 2
Homme 68 ans
astheacutenie
-5 k
Toux ( asbestose)
SFR-IDF 05 avril 2012
Preservation of Echogenicity in Type II Amiodarone-Induced Thyrotoxicosis Possible Histopathological Basis Wai Yin Wong JCEM 2010 95(11)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Amiodarone
Traitement classique
laquo choc agrave lrsquoiode raquo
SFR-IDF 05 avril 2012
Isabelle S 55 ans
Traiteacutee par 18 cp de Cordarone (en 36 heures) Puis 120 mg propranolol
Dosage TSH (la veille) lt005
T4L LSNx2 TRAK h 48(lt2)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Nombre 21 Type Traitement Euthyroiumldie
AIT1 11
10 NT-1 B Methimazole40
+- Perchlorate
1011
(1DC preacutecoce)
AIT2 10 6 Volume N
3 goitres
1 GMHN
Prednisone 4O 1010
Etude reacutetrospective sur AIT 21 patients ( 1110) 19992006 Mono-opeacuterateur En aveugle
Publications
Color-flow Doppler Sonographyin the Diffeacuterential Diagnosis and Management of Amiodarone-Induced Thyrotoxicosis LOW M ampal Acta Radiologica 2007 (6)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode Meacutemoire DIU Thyroiumldologie 2012 Ameacutelie RYNDAK
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
Clin Nucl Med 1988 Apr13(4)258-9
Gallium uptake in the thyroid gland in amiodarone-induced hyperthyroidism Ling MC Dake MD Okerlund MD
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
99mTc-Mibi
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2 Hyper Type 3
Freacutequence Baisse Hausse
Meacutecanismes I- laquo carburant raquo Iodo-toxique Mixte
Thyropathie GoitreTAI autonome
non oui
Anticorps +- non +-
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente ~ 0 variable
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien) Corticoiumldes + ATS
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
variable
Echodoppler Pattern + agrave +++ avasculaire variable
Doppler pulseacute LSN agrave eacuteleveacutees Non acceacuteleacutereacutee variable
Sesta MIBI Fixation MIBI Fixation = 0 +- gt inteacuterecirct Dc ++
SFR-IDF 05 avril 2012
Autres critegraveres Elizabeth N Pearce Fausto Bogazzi Enio Martino Sandra BrogioniEnia
Pardini Giovanni PellegriniArthur B Parkes John H Lazarus Aldo Pinchera and Lewis E Braverman
The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Non inflammatoryThyroid Disease
Thyroid Volume 13 Number 7 2003
Bartalena LGrasso L Aghini-Lombardi FBraverman L EMartino E
Serum interleukin-6 in amiodarone-induced thyrotoxicosis
J Clin Endocrinol Metab 1994 78(2)
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2
Meacutecanismes I- laquo carburant raquo Iodo-toxique
Thyropathie GoitreTAI autonome
non
Anticorps +- non
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente
~ 0
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien)
Echo mode B Selon thyropathie
Echodoppler Pattern + agrave +++
Doppler pulseacute VS LSN agrave eacuteleveacutees
SFR-IDF 05 avril 2012
Homme 88a
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2
Meacutecanismes I- laquo carburant raquo Iodo-toxique
Thyropathie GoitreTAI autonome
non
Anticorps +- non
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente
~ 0
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien)
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
Echodoppler Pattern + agrave +++ avasculaire
Doppler pulseacute VS LSN agrave eacuteleveacutees Non acceacuteleacutereacutee
SFR-IDF 05 avril 2012
0
05
1
15
2
25
3
35
4
45
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Seacuterie1
Seacuterie2
TSH T4L
Ngdl
06 07 08 09 2010 111
Amiodarone 800cp CRT
60mg
0
5
10
15
20
25
1 2 3 4 5 6 7 8 9 10 11 12
Volume ml HII Type 2
Homme 68 ans
astheacutenie
-5 k
Toux ( asbestose)
SFR-IDF 05 avril 2012
Preservation of Echogenicity in Type II Amiodarone-Induced Thyrotoxicosis Possible Histopathological Basis Wai Yin Wong JCEM 2010 95(11)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Amiodarone
Traitement classique
laquo choc agrave lrsquoiode raquo
SFR-IDF 05 avril 2012
Isabelle S 55 ans
Traiteacutee par 18 cp de Cordarone (en 36 heures) Puis 120 mg propranolol
Dosage TSH (la veille) lt005
T4L LSNx2 TRAK h 48(lt2)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Nombre 21 Type Traitement Euthyroiumldie
AIT1 11
10 NT-1 B Methimazole40
+- Perchlorate
1011
(1DC preacutecoce)
AIT2 10 6 Volume N
3 goitres
1 GMHN
Prednisone 4O 1010
Etude reacutetrospective sur AIT 21 patients ( 1110) 19992006 Mono-opeacuterateur En aveugle
Publications
Color-flow Doppler Sonographyin the Diffeacuterential Diagnosis and Management of Amiodarone-Induced Thyrotoxicosis LOW M ampal Acta Radiologica 2007 (6)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode Meacutemoire DIU Thyroiumldologie 2012 Ameacutelie RYNDAK
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
Clin Nucl Med 1988 Apr13(4)258-9
Gallium uptake in the thyroid gland in amiodarone-induced hyperthyroidism Ling MC Dake MD Okerlund MD
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
99mTc-Mibi
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2 Hyper Type 3
Freacutequence Baisse Hausse
Meacutecanismes I- laquo carburant raquo Iodo-toxique Mixte
Thyropathie GoitreTAI autonome
non oui
Anticorps +- non +-
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente ~ 0 variable
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien) Corticoiumldes + ATS
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
variable
Echodoppler Pattern + agrave +++ avasculaire variable
Doppler pulseacute LSN agrave eacuteleveacutees Non acceacuteleacutereacutee variable
Sesta MIBI Fixation MIBI Fixation = 0 +- gt inteacuterecirct Dc ++
SFR-IDF 05 avril 2012
Autres critegraveres Elizabeth N Pearce Fausto Bogazzi Enio Martino Sandra BrogioniEnia
Pardini Giovanni PellegriniArthur B Parkes John H Lazarus Aldo Pinchera and Lewis E Braverman
The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Non inflammatoryThyroid Disease
Thyroid Volume 13 Number 7 2003
Bartalena LGrasso L Aghini-Lombardi FBraverman L EMartino E
Serum interleukin-6 in amiodarone-induced thyrotoxicosis
J Clin Endocrinol Metab 1994 78(2)
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
Homme 88a
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2
Meacutecanismes I- laquo carburant raquo Iodo-toxique
Thyropathie GoitreTAI autonome
non
Anticorps +- non
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente
~ 0
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien)
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
Echodoppler Pattern + agrave +++ avasculaire
Doppler pulseacute VS LSN agrave eacuteleveacutees Non acceacuteleacutereacutee
SFR-IDF 05 avril 2012
0
05
1
15
2
25
3
35
4
45
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Seacuterie1
Seacuterie2
TSH T4L
Ngdl
06 07 08 09 2010 111
Amiodarone 800cp CRT
60mg
0
5
10
15
20
25
1 2 3 4 5 6 7 8 9 10 11 12
Volume ml HII Type 2
Homme 68 ans
astheacutenie
-5 k
Toux ( asbestose)
SFR-IDF 05 avril 2012
Preservation of Echogenicity in Type II Amiodarone-Induced Thyrotoxicosis Possible Histopathological Basis Wai Yin Wong JCEM 2010 95(11)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Amiodarone
Traitement classique
laquo choc agrave lrsquoiode raquo
SFR-IDF 05 avril 2012
Isabelle S 55 ans
Traiteacutee par 18 cp de Cordarone (en 36 heures) Puis 120 mg propranolol
Dosage TSH (la veille) lt005
T4L LSNx2 TRAK h 48(lt2)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Nombre 21 Type Traitement Euthyroiumldie
AIT1 11
10 NT-1 B Methimazole40
+- Perchlorate
1011
(1DC preacutecoce)
AIT2 10 6 Volume N
3 goitres
1 GMHN
Prednisone 4O 1010
Etude reacutetrospective sur AIT 21 patients ( 1110) 19992006 Mono-opeacuterateur En aveugle
Publications
Color-flow Doppler Sonographyin the Diffeacuterential Diagnosis and Management of Amiodarone-Induced Thyrotoxicosis LOW M ampal Acta Radiologica 2007 (6)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode Meacutemoire DIU Thyroiumldologie 2012 Ameacutelie RYNDAK
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
Clin Nucl Med 1988 Apr13(4)258-9
Gallium uptake in the thyroid gland in amiodarone-induced hyperthyroidism Ling MC Dake MD Okerlund MD
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
99mTc-Mibi
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2 Hyper Type 3
Freacutequence Baisse Hausse
Meacutecanismes I- laquo carburant raquo Iodo-toxique Mixte
Thyropathie GoitreTAI autonome
non oui
Anticorps +- non +-
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente ~ 0 variable
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien) Corticoiumldes + ATS
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
variable
Echodoppler Pattern + agrave +++ avasculaire variable
Doppler pulseacute LSN agrave eacuteleveacutees Non acceacuteleacutereacutee variable
Sesta MIBI Fixation MIBI Fixation = 0 +- gt inteacuterecirct Dc ++
SFR-IDF 05 avril 2012
Autres critegraveres Elizabeth N Pearce Fausto Bogazzi Enio Martino Sandra BrogioniEnia
Pardini Giovanni PellegriniArthur B Parkes John H Lazarus Aldo Pinchera and Lewis E Braverman
The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Non inflammatoryThyroid Disease
Thyroid Volume 13 Number 7 2003
Bartalena LGrasso L Aghini-Lombardi FBraverman L EMartino E
Serum interleukin-6 in amiodarone-induced thyrotoxicosis
J Clin Endocrinol Metab 1994 78(2)
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2
Meacutecanismes I- laquo carburant raquo Iodo-toxique
Thyropathie GoitreTAI autonome
non
Anticorps +- non
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente
~ 0
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien)
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
Echodoppler Pattern + agrave +++ avasculaire
Doppler pulseacute VS LSN agrave eacuteleveacutees Non acceacuteleacutereacutee
SFR-IDF 05 avril 2012
0
05
1
15
2
25
3
35
4
45
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Seacuterie1
Seacuterie2
TSH T4L
Ngdl
06 07 08 09 2010 111
Amiodarone 800cp CRT
60mg
0
5
10
15
20
25
1 2 3 4 5 6 7 8 9 10 11 12
Volume ml HII Type 2
Homme 68 ans
astheacutenie
-5 k
Toux ( asbestose)
SFR-IDF 05 avril 2012
Preservation of Echogenicity in Type II Amiodarone-Induced Thyrotoxicosis Possible Histopathological Basis Wai Yin Wong JCEM 2010 95(11)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Amiodarone
Traitement classique
laquo choc agrave lrsquoiode raquo
SFR-IDF 05 avril 2012
Isabelle S 55 ans
Traiteacutee par 18 cp de Cordarone (en 36 heures) Puis 120 mg propranolol
Dosage TSH (la veille) lt005
T4L LSNx2 TRAK h 48(lt2)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Nombre 21 Type Traitement Euthyroiumldie
AIT1 11
10 NT-1 B Methimazole40
+- Perchlorate
1011
(1DC preacutecoce)
AIT2 10 6 Volume N
3 goitres
1 GMHN
Prednisone 4O 1010
Etude reacutetrospective sur AIT 21 patients ( 1110) 19992006 Mono-opeacuterateur En aveugle
Publications
Color-flow Doppler Sonographyin the Diffeacuterential Diagnosis and Management of Amiodarone-Induced Thyrotoxicosis LOW M ampal Acta Radiologica 2007 (6)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode Meacutemoire DIU Thyroiumldologie 2012 Ameacutelie RYNDAK
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
Clin Nucl Med 1988 Apr13(4)258-9
Gallium uptake in the thyroid gland in amiodarone-induced hyperthyroidism Ling MC Dake MD Okerlund MD
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
99mTc-Mibi
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2 Hyper Type 3
Freacutequence Baisse Hausse
Meacutecanismes I- laquo carburant raquo Iodo-toxique Mixte
Thyropathie GoitreTAI autonome
non oui
Anticorps +- non +-
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente ~ 0 variable
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien) Corticoiumldes + ATS
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
variable
Echodoppler Pattern + agrave +++ avasculaire variable
Doppler pulseacute LSN agrave eacuteleveacutees Non acceacuteleacutereacutee variable
Sesta MIBI Fixation MIBI Fixation = 0 +- gt inteacuterecirct Dc ++
SFR-IDF 05 avril 2012
Autres critegraveres Elizabeth N Pearce Fausto Bogazzi Enio Martino Sandra BrogioniEnia
Pardini Giovanni PellegriniArthur B Parkes John H Lazarus Aldo Pinchera and Lewis E Braverman
The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Non inflammatoryThyroid Disease
Thyroid Volume 13 Number 7 2003
Bartalena LGrasso L Aghini-Lombardi FBraverman L EMartino E
Serum interleukin-6 in amiodarone-induced thyrotoxicosis
J Clin Endocrinol Metab 1994 78(2)
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2
Meacutecanismes I- laquo carburant raquo Iodo-toxique
Thyropathie GoitreTAI autonome
non
Anticorps +- non
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente
~ 0
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien)
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
Echodoppler Pattern + agrave +++ avasculaire
Doppler pulseacute VS LSN agrave eacuteleveacutees Non acceacuteleacutereacutee
SFR-IDF 05 avril 2012
0
05
1
15
2
25
3
35
4
45
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Seacuterie1
Seacuterie2
TSH T4L
Ngdl
06 07 08 09 2010 111
Amiodarone 800cp CRT
60mg
0
5
10
15
20
25
1 2 3 4 5 6 7 8 9 10 11 12
Volume ml HII Type 2
Homme 68 ans
astheacutenie
-5 k
Toux ( asbestose)
SFR-IDF 05 avril 2012
Preservation of Echogenicity in Type II Amiodarone-Induced Thyrotoxicosis Possible Histopathological Basis Wai Yin Wong JCEM 2010 95(11)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Amiodarone
Traitement classique
laquo choc agrave lrsquoiode raquo
SFR-IDF 05 avril 2012
Isabelle S 55 ans
Traiteacutee par 18 cp de Cordarone (en 36 heures) Puis 120 mg propranolol
Dosage TSH (la veille) lt005
T4L LSNx2 TRAK h 48(lt2)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Nombre 21 Type Traitement Euthyroiumldie
AIT1 11
10 NT-1 B Methimazole40
+- Perchlorate
1011
(1DC preacutecoce)
AIT2 10 6 Volume N
3 goitres
1 GMHN
Prednisone 4O 1010
Etude reacutetrospective sur AIT 21 patients ( 1110) 19992006 Mono-opeacuterateur En aveugle
Publications
Color-flow Doppler Sonographyin the Diffeacuterential Diagnosis and Management of Amiodarone-Induced Thyrotoxicosis LOW M ampal Acta Radiologica 2007 (6)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode Meacutemoire DIU Thyroiumldologie 2012 Ameacutelie RYNDAK
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
Clin Nucl Med 1988 Apr13(4)258-9
Gallium uptake in the thyroid gland in amiodarone-induced hyperthyroidism Ling MC Dake MD Okerlund MD
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
99mTc-Mibi
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2 Hyper Type 3
Freacutequence Baisse Hausse
Meacutecanismes I- laquo carburant raquo Iodo-toxique Mixte
Thyropathie GoitreTAI autonome
non oui
Anticorps +- non +-
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente ~ 0 variable
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien) Corticoiumldes + ATS
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
variable
Echodoppler Pattern + agrave +++ avasculaire variable
Doppler pulseacute LSN agrave eacuteleveacutees Non acceacuteleacutereacutee variable
Sesta MIBI Fixation MIBI Fixation = 0 +- gt inteacuterecirct Dc ++
SFR-IDF 05 avril 2012
Autres critegraveres Elizabeth N Pearce Fausto Bogazzi Enio Martino Sandra BrogioniEnia
Pardini Giovanni PellegriniArthur B Parkes John H Lazarus Aldo Pinchera and Lewis E Braverman
The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Non inflammatoryThyroid Disease
Thyroid Volume 13 Number 7 2003
Bartalena LGrasso L Aghini-Lombardi FBraverman L EMartino E
Serum interleukin-6 in amiodarone-induced thyrotoxicosis
J Clin Endocrinol Metab 1994 78(2)
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
0
05
1
15
2
25
3
35
4
45
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Seacuterie1
Seacuterie2
TSH T4L
Ngdl
06 07 08 09 2010 111
Amiodarone 800cp CRT
60mg
0
5
10
15
20
25
1 2 3 4 5 6 7 8 9 10 11 12
Volume ml HII Type 2
Homme 68 ans
astheacutenie
-5 k
Toux ( asbestose)
SFR-IDF 05 avril 2012
Preservation of Echogenicity in Type II Amiodarone-Induced Thyrotoxicosis Possible Histopathological Basis Wai Yin Wong JCEM 2010 95(11)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Amiodarone
Traitement classique
laquo choc agrave lrsquoiode raquo
SFR-IDF 05 avril 2012
Isabelle S 55 ans
Traiteacutee par 18 cp de Cordarone (en 36 heures) Puis 120 mg propranolol
Dosage TSH (la veille) lt005
T4L LSNx2 TRAK h 48(lt2)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Nombre 21 Type Traitement Euthyroiumldie
AIT1 11
10 NT-1 B Methimazole40
+- Perchlorate
1011
(1DC preacutecoce)
AIT2 10 6 Volume N
3 goitres
1 GMHN
Prednisone 4O 1010
Etude reacutetrospective sur AIT 21 patients ( 1110) 19992006 Mono-opeacuterateur En aveugle
Publications
Color-flow Doppler Sonographyin the Diffeacuterential Diagnosis and Management of Amiodarone-Induced Thyrotoxicosis LOW M ampal Acta Radiologica 2007 (6)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode Meacutemoire DIU Thyroiumldologie 2012 Ameacutelie RYNDAK
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
Clin Nucl Med 1988 Apr13(4)258-9
Gallium uptake in the thyroid gland in amiodarone-induced hyperthyroidism Ling MC Dake MD Okerlund MD
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
99mTc-Mibi
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2 Hyper Type 3
Freacutequence Baisse Hausse
Meacutecanismes I- laquo carburant raquo Iodo-toxique Mixte
Thyropathie GoitreTAI autonome
non oui
Anticorps +- non +-
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente ~ 0 variable
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien) Corticoiumldes + ATS
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
variable
Echodoppler Pattern + agrave +++ avasculaire variable
Doppler pulseacute LSN agrave eacuteleveacutees Non acceacuteleacutereacutee variable
Sesta MIBI Fixation MIBI Fixation = 0 +- gt inteacuterecirct Dc ++
SFR-IDF 05 avril 2012
Autres critegraveres Elizabeth N Pearce Fausto Bogazzi Enio Martino Sandra BrogioniEnia
Pardini Giovanni PellegriniArthur B Parkes John H Lazarus Aldo Pinchera and Lewis E Braverman
The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Non inflammatoryThyroid Disease
Thyroid Volume 13 Number 7 2003
Bartalena LGrasso L Aghini-Lombardi FBraverman L EMartino E
Serum interleukin-6 in amiodarone-induced thyrotoxicosis
J Clin Endocrinol Metab 1994 78(2)
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
Preservation of Echogenicity in Type II Amiodarone-Induced Thyrotoxicosis Possible Histopathological Basis Wai Yin Wong JCEM 2010 95(11)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Amiodarone
Traitement classique
laquo choc agrave lrsquoiode raquo
SFR-IDF 05 avril 2012
Isabelle S 55 ans
Traiteacutee par 18 cp de Cordarone (en 36 heures) Puis 120 mg propranolol
Dosage TSH (la veille) lt005
T4L LSNx2 TRAK h 48(lt2)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Nombre 21 Type Traitement Euthyroiumldie
AIT1 11
10 NT-1 B Methimazole40
+- Perchlorate
1011
(1DC preacutecoce)
AIT2 10 6 Volume N
3 goitres
1 GMHN
Prednisone 4O 1010
Etude reacutetrospective sur AIT 21 patients ( 1110) 19992006 Mono-opeacuterateur En aveugle
Publications
Color-flow Doppler Sonographyin the Diffeacuterential Diagnosis and Management of Amiodarone-Induced Thyrotoxicosis LOW M ampal Acta Radiologica 2007 (6)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode Meacutemoire DIU Thyroiumldologie 2012 Ameacutelie RYNDAK
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
Clin Nucl Med 1988 Apr13(4)258-9
Gallium uptake in the thyroid gland in amiodarone-induced hyperthyroidism Ling MC Dake MD Okerlund MD
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
99mTc-Mibi
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2 Hyper Type 3
Freacutequence Baisse Hausse
Meacutecanismes I- laquo carburant raquo Iodo-toxique Mixte
Thyropathie GoitreTAI autonome
non oui
Anticorps +- non +-
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente ~ 0 variable
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien) Corticoiumldes + ATS
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
variable
Echodoppler Pattern + agrave +++ avasculaire variable
Doppler pulseacute LSN agrave eacuteleveacutees Non acceacuteleacutereacutee variable
Sesta MIBI Fixation MIBI Fixation = 0 +- gt inteacuterecirct Dc ++
SFR-IDF 05 avril 2012
Autres critegraveres Elizabeth N Pearce Fausto Bogazzi Enio Martino Sandra BrogioniEnia
Pardini Giovanni PellegriniArthur B Parkes John H Lazarus Aldo Pinchera and Lewis E Braverman
The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Non inflammatoryThyroid Disease
Thyroid Volume 13 Number 7 2003
Bartalena LGrasso L Aghini-Lombardi FBraverman L EMartino E
Serum interleukin-6 in amiodarone-induced thyrotoxicosis
J Clin Endocrinol Metab 1994 78(2)
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Amiodarone
Traitement classique
laquo choc agrave lrsquoiode raquo
SFR-IDF 05 avril 2012
Isabelle S 55 ans
Traiteacutee par 18 cp de Cordarone (en 36 heures) Puis 120 mg propranolol
Dosage TSH (la veille) lt005
T4L LSNx2 TRAK h 48(lt2)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Nombre 21 Type Traitement Euthyroiumldie
AIT1 11
10 NT-1 B Methimazole40
+- Perchlorate
1011
(1DC preacutecoce)
AIT2 10 6 Volume N
3 goitres
1 GMHN
Prednisone 4O 1010
Etude reacutetrospective sur AIT 21 patients ( 1110) 19992006 Mono-opeacuterateur En aveugle
Publications
Color-flow Doppler Sonographyin the Diffeacuterential Diagnosis and Management of Amiodarone-Induced Thyrotoxicosis LOW M ampal Acta Radiologica 2007 (6)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode Meacutemoire DIU Thyroiumldologie 2012 Ameacutelie RYNDAK
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
Clin Nucl Med 1988 Apr13(4)258-9
Gallium uptake in the thyroid gland in amiodarone-induced hyperthyroidism Ling MC Dake MD Okerlund MD
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
99mTc-Mibi
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2 Hyper Type 3
Freacutequence Baisse Hausse
Meacutecanismes I- laquo carburant raquo Iodo-toxique Mixte
Thyropathie GoitreTAI autonome
non oui
Anticorps +- non +-
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente ~ 0 variable
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien) Corticoiumldes + ATS
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
variable
Echodoppler Pattern + agrave +++ avasculaire variable
Doppler pulseacute LSN agrave eacuteleveacutees Non acceacuteleacutereacutee variable
Sesta MIBI Fixation MIBI Fixation = 0 +- gt inteacuterecirct Dc ++
SFR-IDF 05 avril 2012
Autres critegraveres Elizabeth N Pearce Fausto Bogazzi Enio Martino Sandra BrogioniEnia
Pardini Giovanni PellegriniArthur B Parkes John H Lazarus Aldo Pinchera and Lewis E Braverman
The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Non inflammatoryThyroid Disease
Thyroid Volume 13 Number 7 2003
Bartalena LGrasso L Aghini-Lombardi FBraverman L EMartino E
Serum interleukin-6 in amiodarone-induced thyrotoxicosis
J Clin Endocrinol Metab 1994 78(2)
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
Amiodarone
Traitement classique
laquo choc agrave lrsquoiode raquo
SFR-IDF 05 avril 2012
Isabelle S 55 ans
Traiteacutee par 18 cp de Cordarone (en 36 heures) Puis 120 mg propranolol
Dosage TSH (la veille) lt005
T4L LSNx2 TRAK h 48(lt2)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Nombre 21 Type Traitement Euthyroiumldie
AIT1 11
10 NT-1 B Methimazole40
+- Perchlorate
1011
(1DC preacutecoce)
AIT2 10 6 Volume N
3 goitres
1 GMHN
Prednisone 4O 1010
Etude reacutetrospective sur AIT 21 patients ( 1110) 19992006 Mono-opeacuterateur En aveugle
Publications
Color-flow Doppler Sonographyin the Diffeacuterential Diagnosis and Management of Amiodarone-Induced Thyrotoxicosis LOW M ampal Acta Radiologica 2007 (6)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode Meacutemoire DIU Thyroiumldologie 2012 Ameacutelie RYNDAK
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
Clin Nucl Med 1988 Apr13(4)258-9
Gallium uptake in the thyroid gland in amiodarone-induced hyperthyroidism Ling MC Dake MD Okerlund MD
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
99mTc-Mibi
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2 Hyper Type 3
Freacutequence Baisse Hausse
Meacutecanismes I- laquo carburant raquo Iodo-toxique Mixte
Thyropathie GoitreTAI autonome
non oui
Anticorps +- non +-
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente ~ 0 variable
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien) Corticoiumldes + ATS
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
variable
Echodoppler Pattern + agrave +++ avasculaire variable
Doppler pulseacute LSN agrave eacuteleveacutees Non acceacuteleacutereacutee variable
Sesta MIBI Fixation MIBI Fixation = 0 +- gt inteacuterecirct Dc ++
SFR-IDF 05 avril 2012
Autres critegraveres Elizabeth N Pearce Fausto Bogazzi Enio Martino Sandra BrogioniEnia
Pardini Giovanni PellegriniArthur B Parkes John H Lazarus Aldo Pinchera and Lewis E Braverman
The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Non inflammatoryThyroid Disease
Thyroid Volume 13 Number 7 2003
Bartalena LGrasso L Aghini-Lombardi FBraverman L EMartino E
Serum interleukin-6 in amiodarone-induced thyrotoxicosis
J Clin Endocrinol Metab 1994 78(2)
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
Isabelle S 55 ans
Traiteacutee par 18 cp de Cordarone (en 36 heures) Puis 120 mg propranolol
Dosage TSH (la veille) lt005
T4L LSNx2 TRAK h 48(lt2)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Nombre 21 Type Traitement Euthyroiumldie
AIT1 11
10 NT-1 B Methimazole40
+- Perchlorate
1011
(1DC preacutecoce)
AIT2 10 6 Volume N
3 goitres
1 GMHN
Prednisone 4O 1010
Etude reacutetrospective sur AIT 21 patients ( 1110) 19992006 Mono-opeacuterateur En aveugle
Publications
Color-flow Doppler Sonographyin the Diffeacuterential Diagnosis and Management of Amiodarone-Induced Thyrotoxicosis LOW M ampal Acta Radiologica 2007 (6)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode Meacutemoire DIU Thyroiumldologie 2012 Ameacutelie RYNDAK
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
Clin Nucl Med 1988 Apr13(4)258-9
Gallium uptake in the thyroid gland in amiodarone-induced hyperthyroidism Ling MC Dake MD Okerlund MD
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
99mTc-Mibi
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2 Hyper Type 3
Freacutequence Baisse Hausse
Meacutecanismes I- laquo carburant raquo Iodo-toxique Mixte
Thyropathie GoitreTAI autonome
non oui
Anticorps +- non +-
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente ~ 0 variable
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien) Corticoiumldes + ATS
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
variable
Echodoppler Pattern + agrave +++ avasculaire variable
Doppler pulseacute LSN agrave eacuteleveacutees Non acceacuteleacutereacutee variable
Sesta MIBI Fixation MIBI Fixation = 0 +- gt inteacuterecirct Dc ++
SFR-IDF 05 avril 2012
Autres critegraveres Elizabeth N Pearce Fausto Bogazzi Enio Martino Sandra BrogioniEnia
Pardini Giovanni PellegriniArthur B Parkes John H Lazarus Aldo Pinchera and Lewis E Braverman
The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Non inflammatoryThyroid Disease
Thyroid Volume 13 Number 7 2003
Bartalena LGrasso L Aghini-Lombardi FBraverman L EMartino E
Serum interleukin-6 in amiodarone-induced thyrotoxicosis
J Clin Endocrinol Metab 1994 78(2)
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Nombre 21 Type Traitement Euthyroiumldie
AIT1 11
10 NT-1 B Methimazole40
+- Perchlorate
1011
(1DC preacutecoce)
AIT2 10 6 Volume N
3 goitres
1 GMHN
Prednisone 4O 1010
Etude reacutetrospective sur AIT 21 patients ( 1110) 19992006 Mono-opeacuterateur En aveugle
Publications
Color-flow Doppler Sonographyin the Diffeacuterential Diagnosis and Management of Amiodarone-Induced Thyrotoxicosis LOW M ampal Acta Radiologica 2007 (6)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode Meacutemoire DIU Thyroiumldologie 2012 Ameacutelie RYNDAK
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
Clin Nucl Med 1988 Apr13(4)258-9
Gallium uptake in the thyroid gland in amiodarone-induced hyperthyroidism Ling MC Dake MD Okerlund MD
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
99mTc-Mibi
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2 Hyper Type 3
Freacutequence Baisse Hausse
Meacutecanismes I- laquo carburant raquo Iodo-toxique Mixte
Thyropathie GoitreTAI autonome
non oui
Anticorps +- non +-
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente ~ 0 variable
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien) Corticoiumldes + ATS
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
variable
Echodoppler Pattern + agrave +++ avasculaire variable
Doppler pulseacute LSN agrave eacuteleveacutees Non acceacuteleacutereacutee variable
Sesta MIBI Fixation MIBI Fixation = 0 +- gt inteacuterecirct Dc ++
SFR-IDF 05 avril 2012
Autres critegraveres Elizabeth N Pearce Fausto Bogazzi Enio Martino Sandra BrogioniEnia
Pardini Giovanni PellegriniArthur B Parkes John H Lazarus Aldo Pinchera and Lewis E Braverman
The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Non inflammatoryThyroid Disease
Thyroid Volume 13 Number 7 2003
Bartalena LGrasso L Aghini-Lombardi FBraverman L EMartino E
Serum interleukin-6 in amiodarone-induced thyrotoxicosis
J Clin Endocrinol Metab 1994 78(2)
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
Nombre 21 Type Traitement Euthyroiumldie
AIT1 11
10 NT-1 B Methimazole40
+- Perchlorate
1011
(1DC preacutecoce)
AIT2 10 6 Volume N
3 goitres
1 GMHN
Prednisone 4O 1010
Etude reacutetrospective sur AIT 21 patients ( 1110) 19992006 Mono-opeacuterateur En aveugle
Publications
Color-flow Doppler Sonographyin the Diffeacuterential Diagnosis and Management of Amiodarone-Induced Thyrotoxicosis LOW M ampal Acta Radiologica 2007 (6)
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode Meacutemoire DIU Thyroiumldologie 2012 Ameacutelie RYNDAK
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
Clin Nucl Med 1988 Apr13(4)258-9
Gallium uptake in the thyroid gland in amiodarone-induced hyperthyroidism Ling MC Dake MD Okerlund MD
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
99mTc-Mibi
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2 Hyper Type 3
Freacutequence Baisse Hausse
Meacutecanismes I- laquo carburant raquo Iodo-toxique Mixte
Thyropathie GoitreTAI autonome
non oui
Anticorps +- non +-
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente ~ 0 variable
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien) Corticoiumldes + ATS
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
variable
Echodoppler Pattern + agrave +++ avasculaire variable
Doppler pulseacute LSN agrave eacuteleveacutees Non acceacuteleacutereacutee variable
Sesta MIBI Fixation MIBI Fixation = 0 +- gt inteacuterecirct Dc ++
SFR-IDF 05 avril 2012
Autres critegraveres Elizabeth N Pearce Fausto Bogazzi Enio Martino Sandra BrogioniEnia
Pardini Giovanni PellegriniArthur B Parkes John H Lazarus Aldo Pinchera and Lewis E Braverman
The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Non inflammatoryThyroid Disease
Thyroid Volume 13 Number 7 2003
Bartalena LGrasso L Aghini-Lombardi FBraverman L EMartino E
Serum interleukin-6 in amiodarone-induced thyrotoxicosis
J Clin Endocrinol Metab 1994 78(2)
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode Meacutemoire DIU Thyroiumldologie 2012 Ameacutelie RYNDAK
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
Clin Nucl Med 1988 Apr13(4)258-9
Gallium uptake in the thyroid gland in amiodarone-induced hyperthyroidism Ling MC Dake MD Okerlund MD
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
99mTc-Mibi
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2 Hyper Type 3
Freacutequence Baisse Hausse
Meacutecanismes I- laquo carburant raquo Iodo-toxique Mixte
Thyropathie GoitreTAI autonome
non oui
Anticorps +- non +-
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente ~ 0 variable
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien) Corticoiumldes + ATS
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
variable
Echodoppler Pattern + agrave +++ avasculaire variable
Doppler pulseacute LSN agrave eacuteleveacutees Non acceacuteleacutereacutee variable
Sesta MIBI Fixation MIBI Fixation = 0 +- gt inteacuterecirct Dc ++
SFR-IDF 05 avril 2012
Autres critegraveres Elizabeth N Pearce Fausto Bogazzi Enio Martino Sandra BrogioniEnia
Pardini Giovanni PellegriniArthur B Parkes John H Lazarus Aldo Pinchera and Lewis E Braverman
The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Non inflammatoryThyroid Disease
Thyroid Volume 13 Number 7 2003
Bartalena LGrasso L Aghini-Lombardi FBraverman L EMartino E
Serum interleukin-6 in amiodarone-induced thyrotoxicosis
J Clin Endocrinol Metab 1994 78(2)
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode Meacutemoire DIU Thyroiumldologie 2012 Ameacutelie RYNDAK
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
Clin Nucl Med 1988 Apr13(4)258-9
Gallium uptake in the thyroid gland in amiodarone-induced hyperthyroidism Ling MC Dake MD Okerlund MD
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
99mTc-Mibi
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2 Hyper Type 3
Freacutequence Baisse Hausse
Meacutecanismes I- laquo carburant raquo Iodo-toxique Mixte
Thyropathie GoitreTAI autonome
non oui
Anticorps +- non +-
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente ~ 0 variable
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien) Corticoiumldes + ATS
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
variable
Echodoppler Pattern + agrave +++ avasculaire variable
Doppler pulseacute LSN agrave eacuteleveacutees Non acceacuteleacutereacutee variable
Sesta MIBI Fixation MIBI Fixation = 0 +- gt inteacuterecirct Dc ++
SFR-IDF 05 avril 2012
Autres critegraveres Elizabeth N Pearce Fausto Bogazzi Enio Martino Sandra BrogioniEnia
Pardini Giovanni PellegriniArthur B Parkes John H Lazarus Aldo Pinchera and Lewis E Braverman
The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Non inflammatoryThyroid Disease
Thyroid Volume 13 Number 7 2003
Bartalena LGrasso L Aghini-Lombardi FBraverman L EMartino E
Serum interleukin-6 in amiodarone-induced thyrotoxicosis
J Clin Endocrinol Metab 1994 78(2)
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode Meacutemoire DIU Thyroiumldologie 2012 Ameacutelie RYNDAK
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
Clin Nucl Med 1988 Apr13(4)258-9
Gallium uptake in the thyroid gland in amiodarone-induced hyperthyroidism Ling MC Dake MD Okerlund MD
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
99mTc-Mibi
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2 Hyper Type 3
Freacutequence Baisse Hausse
Meacutecanismes I- laquo carburant raquo Iodo-toxique Mixte
Thyropathie GoitreTAI autonome
non oui
Anticorps +- non +-
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente ~ 0 variable
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien) Corticoiumldes + ATS
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
variable
Echodoppler Pattern + agrave +++ avasculaire variable
Doppler pulseacute LSN agrave eacuteleveacutees Non acceacuteleacutereacutee variable
Sesta MIBI Fixation MIBI Fixation = 0 +- gt inteacuterecirct Dc ++
SFR-IDF 05 avril 2012
Autres critegraveres Elizabeth N Pearce Fausto Bogazzi Enio Martino Sandra BrogioniEnia
Pardini Giovanni PellegriniArthur B Parkes John H Lazarus Aldo Pinchera and Lewis E Braverman
The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Non inflammatoryThyroid Disease
Thyroid Volume 13 Number 7 2003
Bartalena LGrasso L Aghini-Lombardi FBraverman L EMartino E
Serum interleukin-6 in amiodarone-induced thyrotoxicosis
J Clin Endocrinol Metab 1994 78(2)
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
Clin Nucl Med 1988 Apr13(4)258-9
Gallium uptake in the thyroid gland in amiodarone-induced hyperthyroidism Ling MC Dake MD Okerlund MD
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
99mTc-Mibi
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2 Hyper Type 3
Freacutequence Baisse Hausse
Meacutecanismes I- laquo carburant raquo Iodo-toxique Mixte
Thyropathie GoitreTAI autonome
non oui
Anticorps +- non +-
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente ~ 0 variable
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien) Corticoiumldes + ATS
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
variable
Echodoppler Pattern + agrave +++ avasculaire variable
Doppler pulseacute LSN agrave eacuteleveacutees Non acceacuteleacutereacutee variable
Sesta MIBI Fixation MIBI Fixation = 0 +- gt inteacuterecirct Dc ++
SFR-IDF 05 avril 2012
Autres critegraveres Elizabeth N Pearce Fausto Bogazzi Enio Martino Sandra BrogioniEnia
Pardini Giovanni PellegriniArthur B Parkes John H Lazarus Aldo Pinchera and Lewis E Braverman
The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Non inflammatoryThyroid Disease
Thyroid Volume 13 Number 7 2003
Bartalena LGrasso L Aghini-Lombardi FBraverman L EMartino E
Serum interleukin-6 in amiodarone-induced thyrotoxicosis
J Clin Endocrinol Metab 1994 78(2)
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
Scintigraphies
Quel traceur
99m Technecium
123 Iode
67 Gallium
99mTc-Mibi
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2 Hyper Type 3
Freacutequence Baisse Hausse
Meacutecanismes I- laquo carburant raquo Iodo-toxique Mixte
Thyropathie GoitreTAI autonome
non oui
Anticorps +- non +-
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente ~ 0 variable
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien) Corticoiumldes + ATS
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
variable
Echodoppler Pattern + agrave +++ avasculaire variable
Doppler pulseacute LSN agrave eacuteleveacutees Non acceacuteleacutereacutee variable
Sesta MIBI Fixation MIBI Fixation = 0 +- gt inteacuterecirct Dc ++
SFR-IDF 05 avril 2012
Autres critegraveres Elizabeth N Pearce Fausto Bogazzi Enio Martino Sandra BrogioniEnia
Pardini Giovanni PellegriniArthur B Parkes John H Lazarus Aldo Pinchera and Lewis E Braverman
The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Non inflammatoryThyroid Disease
Thyroid Volume 13 Number 7 2003
Bartalena LGrasso L Aghini-Lombardi FBraverman L EMartino E
Serum interleukin-6 in amiodarone-induced thyrotoxicosis
J Clin Endocrinol Metab 1994 78(2)
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
Publications (2) Glucocorticoid response in AIT-T2 is predicted by
thyroid Volume and serum free thyroid hormone concentration
Bogazzi F amp al JCEM 2007-92
Amiodarone induced thyrotoxicosis A review Piga M Minerva endocrinologica 2008-33 Amiodarone-induced thyrotoxicosis something new to
refine the initial diagnosis Tanda ML Eur J Endocrinol 2008-159 The usefulness of 99mTc-sestaMIBI thyroid scan in the
differencial diagnosis and management of amiodaroronee induce thyrotoxicosis
Piga M Eur J Endocrinol 2008-159
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2 Hyper Type 3
Freacutequence Baisse Hausse
Meacutecanismes I- laquo carburant raquo Iodo-toxique Mixte
Thyropathie GoitreTAI autonome
non oui
Anticorps +- non +-
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente ~ 0 variable
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien) Corticoiumldes + ATS
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
variable
Echodoppler Pattern + agrave +++ avasculaire variable
Doppler pulseacute LSN agrave eacuteleveacutees Non acceacuteleacutereacutee variable
Sesta MIBI Fixation MIBI Fixation = 0 +- gt inteacuterecirct Dc ++
SFR-IDF 05 avril 2012
Autres critegraveres Elizabeth N Pearce Fausto Bogazzi Enio Martino Sandra BrogioniEnia
Pardini Giovanni PellegriniArthur B Parkes John H Lazarus Aldo Pinchera and Lewis E Braverman
The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Non inflammatoryThyroid Disease
Thyroid Volume 13 Number 7 2003
Bartalena LGrasso L Aghini-Lombardi FBraverman L EMartino E
Serum interleukin-6 in amiodarone-induced thyrotoxicosis
J Clin Endocrinol Metab 1994 78(2)
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
Hyper Type 1 Hyper Type2 Hyper Type 3
Freacutequence Baisse Hausse
Meacutecanismes I- laquo carburant raquo Iodo-toxique Mixte
Thyropathie GoitreTAI autonome
non oui
Anticorps +- non +-
Terrain Homme- Carence iodeacutee
Fixation I123 Variable-preacutesente ~ 0 variable
Traitements meacutedicaux
ATS +- Cl04K Corticoiumldes(ou rien) Corticoiumldes + ATS
Echo mode B Selon thyropathie Hypoeacutechogegravene homogegravene
variable
Echodoppler Pattern + agrave +++ avasculaire variable
Doppler pulseacute LSN agrave eacuteleveacutees Non acceacuteleacutereacutee variable
Sesta MIBI Fixation MIBI Fixation = 0 +- gt inteacuterecirct Dc ++
SFR-IDF 05 avril 2012
Autres critegraveres Elizabeth N Pearce Fausto Bogazzi Enio Martino Sandra BrogioniEnia
Pardini Giovanni PellegriniArthur B Parkes John H Lazarus Aldo Pinchera and Lewis E Braverman
The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Non inflammatoryThyroid Disease
Thyroid Volume 13 Number 7 2003
Bartalena LGrasso L Aghini-Lombardi FBraverman L EMartino E
Serum interleukin-6 in amiodarone-induced thyrotoxicosis
J Clin Endocrinol Metab 1994 78(2)
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
Autres critegraveres Elizabeth N Pearce Fausto Bogazzi Enio Martino Sandra BrogioniEnia
Pardini Giovanni PellegriniArthur B Parkes John H Lazarus Aldo Pinchera and Lewis E Braverman
The Prevalence of Elevated Serum C-Reactive Protein Levels in Inflammatory and Non inflammatoryThyroid Disease
Thyroid Volume 13 Number 7 2003
Bartalena LGrasso L Aghini-Lombardi FBraverman L EMartino E
Serum interleukin-6 in amiodarone-induced thyrotoxicosis
J Clin Endocrinol Metab 1994 78(2)
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodarone induced thyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
Comparaison ETAATA Bartalena L Wiersinga WM Tanda ML Bogazzi F Piantanida ELai A amp Martino E
Diagnosis and management of amiodaroneinducedthyrotoxicosis in Europe results of an international survey among members of the European Thyroid Association
Clinical Endocrinology 2004 61 494ndash502
Diehl LA Romaldini JH Graf H Bartalena L Martino E Albino CCamp Wiersinga WM Management of amiodarone-induced thyrotoxicosis in Latin America an electronic survey
Clinical Endocrinology 2006 65 433ndash438
Tanda ML Piantanida E Lai A Liparulo G Sassi L Bogazzi FWiersinga WM Braverman LE Martino E amp Bartalena L360 M L Tanda and others Diagnosis and management of amiodarone-induced thyrotoxicosis similarities and differences between North Americans and European thyroidologists
Clinical Endocrinology 2008 159
laquo hellipCFDS was the procedure of choice in both regionhellip raquo
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012
laquo Take home messages raquo
LrsquoEchoDoppler thyroiumldien peut donner des arguments deacutecisifs dans lrsquooption theacuterapeutique drsquoune HII
Les endocrinologues et les cardiologues doivent le demander agrave leurs imageurs
Les imageurs doivent connaicirctre cette proceacutedure pour rendre un examen contributif
SFR-IDF 05 avril 2012