What to pay attention to after hyperthyroidism is cured

After healing

The prognosis is generally better after standard treatment.

However, it should be noted that patients with hyperthyroidism who have not been detected and actively treated can cause multiple organ involvement, especially the heart, and even death due to thyroid crisis.

Curative

The cure rate of oral drugs is generally about 50%; the cure rate of surgery and iodine 131 treatment is higher, and the recurrence rate is low, but there is a possibility of hypothyroidism.

Self-healing

Hyperthyroidism is not a self-limiting disease and will not heal itself without treatment.

Harmfulness

Symptoms such as irritability, irritability, insomnia, heart palpitations, fatigue, hyperhidrosis, and periodic paralysis caused by hyperthyroidism seriously affect the work and life of patients;

Graves ophthalmopathy caused by hyperthyroidism can cause discomfort such as eye swelling and pain, low light, and decrease vision;

The anterior tibial mucinous edema caused by hyperthyroidism can thicken and thicken the skin of the calf, such as orange peel and bark-like, which affect the appearance. The anterior tibial mucus can occasionally occur in the upper limbs, surgical scars and even the face;

Thyroid crisis caused by acute exacerbation of hyperthyroidism has a mortality rate of more than 20%;

Hyperthyroidism can also affect the heart, leading to heart diseases such as atrial fibrillation and heart failure;

After hyperthyroidism is treated with surgery or 131I, it may also cause hypothyroidism due to excessive destruction of thyroid tissue, requiring life-long administration of thyroxine.

Severity

Thyroid crisis and heart damage may directly or indirectly lead to death.

complication

Hyperthyroidism eye disease

Hyperthyroid ophthalmopathy is mainly manifested as protruding and bulging eyeballs. In severe cases, the eyes on both sides will be asymmetrically prominent, and photophobia, tearing, and vision loss will also occur. There are two main manifestations of hyperthyroidism: one is simple exophthalmos, which is mainly related to sympathetic nerve excitement caused by excessive thyroid hormone; the other is infiltrating exophthalmos, namely Graves ophthalmopathy, which is related to the autoimmunity of orbital tissues. Related to inflammatory response.

Hyperthyroid heart disease

This is one of the more serious complications of hyperthyroidism, which often causes malignant arrhythmia, and severe cases can lead to death. Patients often present with tachycardia, increased cardiac output, atrial fibrillation and heart failure.

Osteoporosis

Excessive thyroid hormones in patients with hyperthyroidism will affect the speed of bone formation and absorption, which may lead to bone resorption faster than bone formation, bone mass loss, and osteoporosis.

Anterior tibial mucinous edema

This is the specific skin damage of Graves disease, which is more common in the anterior 1/3 of the shin and the skin lesions are mostly symmetrical. The skin lesions were dark purple-red at first, and then thick skin, stacked in sheets or nodules, and finally bark-like, covered with gray or black warts, and the lower limbs were thick and resembling leather legs.

Hyperthyroid myopathy

Patients may manifest as muscle weakness, muscle atrophy, and hypokalemic periodic paralysis. In severe cases, respiratory muscle paralysis may occur, or it may coexist with myasthenia gravis.