Thursday, October 21, 2010
thyroid and Multiple Sclerosis
While the Internet empowers me to just click in to
and the meeting of European Committee for Treatment and Research in Multiple Sclerosis and learn “…that disorders such as thyroiditis, diabetes, rheumatoid arthritis, and asthma are associated with MS…” Patients With Multiple Sclerosis at Risk for Thyroid Disease, the hard wired part of me cannot help but remember and reflect on how all this began before the Internet. Gothenburg, Sweden
Preceding Patti’s diagnosis of “probable MS” in 1985 she went through a rough health streak. Frequent strep throat eventually was treated with a tonsillectomy. Next up was diagnosis of Grave’s disease, thyroid surgery and better life through chemistry, Synthroid. Then almost as if a diagnosis of last resort, ‘probable MS’, four years later that would change to “no question about it” MS.
Would today’s extraordinary access to information have changed any decision making back then? I don’t think so. Hey! I’m bleeding here, a band-aid would be nice still seems the logical approach to symptoms.
However even though it does not apply to our story the ‘what if’ of it all does not escape me. Now days there is so much more to consider.
As early as 1999 “findings might have therapeutic implications because interferon treatment can induce … thyroiditis” Association of MS with thyroid disorders
Or, “Some treatments and medications can trigger Graves' disease and/or thyrotoxicosis in some people, including: Interferon Beta-1b (Betaferon, Betaseron, Extavia, Ziferon), Interleukin-4, immunosuppressant therapy, … a third of patients receiving Campath-1H therapy for multiple sclerosis develop Graves' disease within six months …” Risks and Symptoms of Graves' Disease and Hyperthyroidism / Risk Factors, Triggers, Causes, Signs and Symptoms
Twenty-five years ago while Patti marched confidently toward solutions from internist to endocrinologist to surgeon, the duality of MS and Grave’s disease was never mentioned (perhaps not known at the time) “…There is a significant co-occurrence in patients with MS and Graves' disease …” Co-occurrence of autoimmune thyroid disease in a multiple sclerosis cohort
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