- Hyperthyroidism is a condition in which the thyroid gland produces more thyroid hormone than the body needs.
- Major causes include Graves' disease, hyperfunctioning thyroid nodules, thyroiditis, excessive iodine intake, and overdose of thyroid hormone medication.
- Excess thyroid hormone increases the rate of energy usage and affects various organ functions, including the heart, respiration, digestion, and mood.
- Representative manifestations include nervousness, heat intolerance, hand tremors, rapid or irregular heartbeat, weight loss, frequent bowel movements, muscle weakness, and goiter.
- Risk factors that can increase the likelihood include being female, advanced age, recent pregnancy or childbirth, history of thyroid disease or surgery, family history, certain autoimmune or endocrine diseases, and excessive iodine exposure.
- Symptoms and progression vary by individual, and in the elderly, they may present with atypical features such as decreased appetite or social withdrawal.
- Diagnosis is determined by integrating TSH, T3, T4, and thyroid antibody tests based on medical history and physical examination, along with ultrasound, thyroid scan, or radioactive iodine uptake tests as needed.
- Test results must be interpreted considering symptoms, medications/supplements and iodine exposure, pregnancy status, and the possibility of thyroiditis or nodules; a single value alone does not confirm the cause.
- Management proceeds by evaluating the cause, severity, comorbidities, and patient situation, aiming to control hormone excess and symptoms and to prevent heart, bone, and reproductive-related complications.
- Current treatment options include antithyroid drugs, beta-blockers for symptom relief, radioactive iodine therapy, and thyroid surgery, with the choice depending on the cause and situation.