Journal ArticleDOI
Propylthiouracil-Induced Cutaneous Vasculitis: Case Presentation and Review of the Literature
David B. Vasily,William B. Tyler +1 more
TLDR
A patient had cutaneous vasculitis, leukopenia, and splenomegaly caused by the antithyroid drug, propylthiouracil, and direct immunofluorescence studies demonstrated IgM and C3 of the vessel walls suggesting immune complex deposition.Abstract:
A patient had cutaneous vasculitis, leukopenia, and splenomegaly caused by the antithyroid drug, propylthiouracil. Histopathologic changes of acute vasculitis of the superficial and deep dermal blood vessels accompanied by fibrin thrombi formation were found in biopsy specimens of the cutaneous lesions. Direct immunofluorescence studies demonstrated IgM and C3 of the vessel walls suggesting immune complex deposition. The literature disclosed five cases with similar features associated with propylthiouracil therapy. Characteristic cutaneous findings include a recurrent, self-limited, symmetrical purpuric eruption that can involve the face or earlobes. Clinicians should recognize these changes as a cutaneous sign of a vasculitis associated with propylthiouracil therapy. ( JAMA 243:458-461, 1980)read more
Citations
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Journal ArticleDOI
Vasculitis and antineutrophil cytoplasmic autoantibodies associated with propylthiouracil therapy
Koert M. Dolman,A. E. G. Kr. von dem Borne,Roel Goldschmeding,Rob Gans,Ajm Donker,Th.J. Vervaat,G. Zevenbergen,D. Maingay,R. E. Nikkels +8 more
TL;DR: Antineutrophil cytoplasmic antibodies (ANCA) have been described in association with several vasculitic disorders, such as vasculitis associated with propylthiouracil therapy as mentioned in this paper.
Journal ArticleDOI
The Management of Graves’ Disease in Children, with Special Emphasis on Radioiodine Treatment
Journal ArticleDOI
Cutaneous and systemic manifestations of drug-induced vasculitis.
TL;DR: Clinicians need to be suspect of drug-induced vasculitis to enable prompt diagnosis and treatment and this should improve patient outcomes based on the data referenced for this article.
Book ChapterDOI
Thyroid and antithyroid drugs
TL;DR: The chapter discusses thyroid hormone and the optimal dose of levothyroxine for thyroid replacement therapy and a detailed review of the cancer risks of exposure to radioiodine.
Journal ArticleDOI
Thyroid function and hyperfunction during gestation.
TL;DR: There is a constant hormonal interplay among fetus, mother, and placenta during pregnancy, and human CG concentrations rapidly increase ensuring a supply of progesterone necessary for the maintenance of pregnancy before placental production is assured.
References
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Journal ArticleDOI
Maternal methimazole and congenital defects in children
Samuel Milham,William Elledge +1 more
Journal ArticleDOI
Granulocytopenia, lupus-like syndrome, and other complications of propylthiouracil therapy
TL;DR: Thirty-eight patients aged 2 to 18 years with hyperthyroidism were followed with hematologic studies while receiving propylthiouracil and ten had one or more episodes of leukopenia.
Journal ArticleDOI
Periarteritis occurring during propylthiouracil therapy.
TL;DR: The following case is the first to show that propylthiouracil may cause fatal generalized periarteritis, and the patient became hypersensitive and irritable after emotional trauma.
Journal ArticleDOI
Thyrotoxicosis and collagen-like disease in three sisters of American Indian extraction.
Leon Librik,Leon Librik,Leonard Sussman,Leonard Sussman,Ralph Bejar,Ralph Bejar,George W. Clayton,George W. Clayton +7 more
TL;DR: Three sisters of Cherokee Indian extraction are described who developed thyrotoxicosis during early adolescence and in whom clinical syndromes simulating rheumatoid arthritis and systemic lupus erythematosus occurred either during or following treatment with antithyroid drugs of the thionamide class.