AI Article Synopsis
- A case of Graves' disease was documented where radioiodine treatment didn't work likely due to the patient intentionally discarding the radioactive capsules.
- Analysis of trash from the treatment room matched the profile of the radioiodine capsules, indicating they were removed and not ingested.
- The patient's blood test 24 hours after treatment showed high iodine levels, suggesting potential Munchausen syndrome, where someone fakes illness for attention.
Article Abstract
We experienced a case with Graves' disease in which radioiodine treatment failed probably because of intentional spitting out of capsules of radioactive iodide. Chemical analysis of the substances collected from the trash in the treatment room demonstrated that its profile was the same as that of the capsules for radioiodine administration. Measurement of the iodine concentrations in a blood sample obtained at 24 h after the administration of radioiodine indicated that the patient showed iodine excess. These findings suggest that this may be a case of Munchausen syndrome.
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| http://dx.doi.org/10.1007/BF02984587 | DOI Listing |
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