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Journal of Education, Health and Sport

Graves-Basedow disease treated by complementary medicine leading to severe thyrotoxicosis – a case report
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Graves-Basedow disease treated by complementary medicine leading to severe thyrotoxicosis – a case report

Authors

  • Klaudia Sapuła Samodzielny Publiczny Szpital Kliniczny nr 4 w Lublinie https://orcid.org/0000-0003-2436-0150
  • Jakub Gołacki Samodzielny Publiczny Szpital Kliniczny nr 4 w Lublinie https://orcid.org/0000-0001-8502-3030
  • Aleksandra Marczak Samodzielny Publiczny Szpital Kliniczny nr 1 w Lublinie https://orcid.org/0000-0002-3025-5907
  • Michalina Hordejuk https://orcid.org/0000-0003-2473-1062
  • Klaudyna Iwaszko-Sochal Samodzielny Publiczny Szpital Kliniczny nr 4 w Lublinie https://orcid.org/0000-0001-9228-6138

DOI:

https://doi.org/10.12775/JEHS.2022.12.07.032

Keywords

thyrotoxicosis, Lugol's solution, non-compliance, complementary and alternative medicine

Abstract

Graves' disease is a common cause of hyperthyroidism. Inadequate treatment or non-compliance can lead to serious complications, including thyroid storm. 

We present the case of a 22-year-old woman who had been treated with antithyroid drugs (ATD) for almost 7 years, however decided to suspend conventional treatment and turned towards complementary and alternative medicine methods. Following the bioenergotherapist's advice, she began taking Lugol’s solution (LS) at a dose of 30 drops per day. After about one month of such therapy, the patient was urgently admitted to the Emergency Department with thyrotoxicosis with a high risk of thyroid storm development. With the implementation of intensive thyrostatic treatment and steroid therapy, euthyroidism was successfully restored.

References

Sharma A, Stan MN. Thyrotoxicosis: Diagnosis and Management. Mayo Clin Proc. 2019;94(6):1048-1064. doi:10.1016/j.mayocp.2018.10.011

Kahaly GJ. Management of Graves Thyroidal and Extrathyroidal Disease: An Update. J Clin Endocrinol Metab. 2020;105(12):3704-3720. doi:10.1210/clinem/dgaa646

Piantanida E. Preoperative management in patients with Graves' disease. Gland Surg. 2017;6(5):476-481. doi:10.21037/gs.2017.05.09

Rose HR, Zulfiqar H. Jod Basedow Syndrome. In: StatPearls. Treasure Island (FL): StatPearls Publishing; January 7, 2022

Kahaly GJ, Bartalena L, Hegedüs L, Leenhardt L, Poppe K, Pearce SH. 2018 European Thyroid Association Guideline for the Management of Graves' Hyperthyroidism. Eur Thyroid J. 2018;7(4):167-186. doi:10.1159/000490384

Niedziela M. Hyperthyroidism in adolescents. Endocr Connect. 2021;10(11):R279-R292. Published 2021 Oct 25. doi:10.1530/EC-21-0191

Brown MT, Bussell JK. Medication adherence: WHO cares?. Mayo Clin Proc. 2011;86(4):304-314. doi:10.4065/mcp.2010.0575

Russmann S, Curkovic I, et al. Risiken und Nebenwirkungen durch Non Compliance [Adverse reactions and risks associated with non compliance]. Ther Umsch. 2010;67(6):303-307. doi:10.1024/0040-5930/a000054

Jose VM, Bhalla A, et al. Study of association between use of complementary and alternative medicine and non-compliance with modern medicine in patients presenting to the emergency department. J Postgrad Med. 2007;53(2):96-101. doi:10.4103/0022-3859.32208

Yang JW, How J. Lugol's solution-induced painless thyroiditis. Endocrinol Diabetes Metab Case Rep. 2017; 17-0034. doi: 10.1530/EDM-17-0034

Reddy AC, Sabaretnam M. Lugol's iodine in Graves' disease – Revisited. International Journal of Surgery 36, 2016, Pages 30-31; https://doi.org/10.1016/j.ijsu.2016.10.018

Daffini L, Pirola I, Saccà G, Salvetti M, Cappelli C. Graves' disease treated by complementary medicine leading to thyroid storm: A case report. Caspian J Intern Med. 2021;12(Suppl 2):S371-S375. doi:10.22088/cjim.12.0.371

Leuştean L, Preda C, Ungureanu MC, et al. Jod-Basedow effect due to prolonged use of lugol solution-case report. Rev Med Chir Soc Med Nat Iasi. 2014;118(4):1013-1017

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Published

2022-07-04

How to Cite

1.
SAPUŁA, Klaudia, GOŁACKI, Jakub, MARCZAK, Aleksandra, HORDEJUK, Michalina and IWASZKO-SOCHAL, Klaudyna. Graves-Basedow disease treated by complementary medicine leading to severe thyrotoxicosis – a case report. Journal of Education, Health and Sport. Online. 4 July 2022. Vol. 12, no. 7, pp. 340-346. [Accessed 29 June 2025]. DOI 10.12775/JEHS.2022.12.07.032.
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Issue

Vol. 12 No. 7 (2022)

Section

Case Reports

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Copyright (c) 2022 Klaudia Sapuła, Jakub Gołacki, Aleksandra Marczak, Michalina Hordejuk, Klaudyna Iwaszko-Sochal

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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