A Review: Radiographic Iodinated Contrast Media-Induced Thyroid Dysfunction

作者：Lee Sun Y^*; Rhee Connie M; Leung Angela M; Braverman Lewis E; Brent Gregory A; Pearce Elizabeth N

来源：Journal of Clinical Endocrinology & Metabolism, 2015, 100(2): 376-383.

DOI：10.1210/jc.2014-3292

Context: Thyroid hormone production is dependent on adequate iodine intake. Excess iodine is generally well-tolerated, but thyroid dysfunction can occur in susceptible individuals after excess iodine exposure. Radiological iodinated contrast media represent an increasingly common source of excess iodine.
Objective: This review will discuss the thyroidal response after acute exposure to excess iodine; contrast iodine-induced thyroid dysfunction; risks of iodine-induced thyroid dysfunction in vulnerable populations, such as the fetus, neonate, and patients with impaired renal function; and recommendations for the assessment and treatment of contrast iodine-induced thyroid dysfunction.
Methods: Data for this review were identified by searching PubMed, Google Scholar, and references from relevant articles from 1948 to 2014.
Conclusions: With the increase in the use of computed tomography scans in the United States, there is increasing risk of contrast-induced thyroid dysfunction. Patients at risk of developing iodine-induced thyroid dysfunction should be closely monitored after receiving iodinated contrast media and should be treated as needed.

• 出版日期2015-2