Hyperthyroidism in a Private Medical Services Center, Addis Ababa: A 5-Year Experience
Background: Hyperthyroidism is a common thyroid disorder especially in women. The disorder manifests predominantly as Graves’ disease in iodine-sufficient areas and nodular toxic goiter in iodine-deficient countries. In Ethiopia, the magnitude of the disorder is unknown and its management remains suboptimal.
Objective: The aim of this study was to analyze the pattern and management of patients with hyperthyroidism at the United Vision Medical Services Center (UVMSC), between August 30, 2013 and February 1, 2018.
Patients and Methods: The study was a retrospective analysis of all patients with hyperthyroidism at UVMSC. The data was statistically analyzed using the SPSS package. The results were tabulated and discussed with literature review.
Results: A total of 589 patients were studied. The median age was 40 years; the male to female ratio was 1.0:7.9; and 93% of patients presented with goiter. Majority presented more than two years after the onset of symptoms, in 91% with a toxic nodular goiter. A low thyroid stimulating hormone was noted in 83% of patients and 94% used propylthiouracil. Among 213 patients, 96% underwent a near-total thyroidectomy, in 92% without incident.
Conclusions: The incidence and prevalence of hyperthyroidism is apparently on the increase in Addis Ababa. Hyperthyroidism predominantly affects women and toxic nodular goiter is more common than diffuse goiter and the treatment of choice in experienced hands is near-total thyroidectomy.
Keywords:-Hyperthyroidism, pattern, management, United vision Medical Services, Addis Ababa.
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