Anemia: a cause of intolerance to thyroxine sodium.

Abstract:

:Usual causes of intolerance to thyroxine sodium include coronary artery disease, advanced age, untreated adrenal insufficiency, and severe hypothyroidism. We describe 4 patients with iron deficiency anemia and primary hypothyroidism. After treatment with thyroxine sodium, these patients developed palpitations and feelings of restlessness, which necessitated discontinuation of the thyroid hormone. After the anemia was treated with ferrous sulfate for 4 to 7 weeks, they were able to tolerate thyroxine sodium therapy. Iron deficiency anemia coexisting with primary hypothyroidism results in a hyperadrenergic state. In such patients, we postulate that thyroid hormone administration causes palpitations, nervousness, and feelings of restlessness. Correction of any existing pronounced anemia in hypothyroid patients who are intolerant to thyroxine sodium therapy may result in tolerance to this agent.

journal_name

Mayo Clin Proc

journal_title

Mayo Clinic proceedings

authors

Shakir KM,Turton D,Aprill BS,Drake AJ 3rd,Eisold JF

keywords:

subject

Has Abstract

pub_date

2000-02-01 00:00:00

pages

189-92

issue

2

eissn

0025-6196

issn

1942-5546

pii

S0025-6196(11)64193-1

journal_volume

75

pub_type

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