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THE TREATMENT OF HYPERTHYROIDISM WITH METHIMAZOLE IN A PREGNANT WHO DEVELOPED AGRANULOCYTOSIS DUE TO PROPYLTHIOURACIL

MEHMET SELİM MAMİŞ, NİDA UYAR, MEHMET ALİ EREN, TEVFİK SABUNCU

Journal of Clinical Trials and Experimental Investigations - 2022;1(2):56-59

Harran University, Faculty of Medicine, Department of Internal Medicine, Sanliurfa, Turkey

 

The most common cause of hyperthyroidism during pregnancy is Graves’ disease. Anti-thyroid drugs are primarily used in the treatment of pregnant women with Graves’ disease. Anti-thyroid drugs’ side effects include itching, jaundice, skin rash, drug fever, arthralgia, lupuslike syndrome, toxic hepatitis, vasculitis, hypergammaglobulinemia, and lymphadenopathy. Although agranulocytosis, a serious side effect of anti-thyroid drugs, is rare, it is difficult to treat when it occurs during pregnancy. In this article, we aimed to present a pregnant case with Graves’ disease who developed agranulocytosis after the initiation of propylthiouracil, whose agranulocytosis was treated with granulocyte colony-stimulating factor, and subsequently, hyperthyroidism was treated with methimazole without any problem.