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Correspondence
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Volume 352:2757-2759 June 30, 2005 Number 26
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Hypothyroidism Due to Ethionamide

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To the Editor: Ethionamide (Trecator-SC, Wyeth-Ayerst) is an antimycobacterial drug used as a second-line agent in the treatment of multidrug-resistant tuberculosis. It is structurally similar to methimazole, has been shown to inhibit thyroid hormone synthesis, and was last reported to cause hypothyroidism in 1984.1 Before that report, only three other cases of hypothyroidism related to ethionamide were documented.1 We now report the case of a 57-year-old Indian-American woman with Takayasu's arteritis, coronary artery disease, and multidrug-resistant tuberculosis in whom hypothyroidism developed while she was receiving 250 mg of ethionamide twice daily for three months. She had previously been euthyroid (thyrotropin . . . [Full Text of this Article]




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