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Nontoxic Goiter – What Should be Done?

german translation / full article

Elizabeth Bandeira-Echtler

Question

What should be done when identifying a non-toxic, non-nodulary goitre?

Answer

Control of sufficient iodine intake. Sonographic control of size and new nodul development. According to the studies: No medication with Levothyroxine because there are more potential negative than positive effects. In some situations, as an exceptional increase in size, levothyroxine can be tried. A control in 6 to 12 months is necessary to find out, if the increase is stopped. If this is the case, it has to be decided together with the patient, if treatment should be continued; mentioning the negative effects and the contra-indications for long-term treatment.


(State: 15.06.2016)

Latest Issue 9/2020

In Focus

  • Clinical Characteristics of SARS-CoV-2 Tested Patients
  • Urinary Incontinence in Family Practice
  • Challenges in Southern Bavarian Primary Care Practices During the COVID-19 Pandemic