Diagnosis dan Tata Laksana Graves’ Disease
Tinjauan Pustaka
DOI:
https://doi.org/10.55175/cdk.v52i4.1510Kata Kunci:
Hipertiroid, penyakit Graves, tiroidAbstrak
Graves’ disease adalah penyebab utama (60%-80%) kasus hipertiroidisme. Faktor risiko penyakit meliputi genetik, lingkungan, dan imunologis, dengan prevalensi lebih tinggi pada wanita. Diagnosis berdasarkan anamnesis dan pemeriksaan fisik yang dapat dibantu dengan indeks Wayne, serta pemeriksaan penunjang, meliputi pemeriksaan laboratorium fungsi tiroid, pemeriksaan antibodi, thyroid scan, atau color-doppler ultrasonography. Tata laksana terdiri dari pemberian obat anti-tiroid, radioactive iodine treatment (RAI), dan pembedahan. Komplikasi Graves’ disease meliputi Graves ophthalmopathy, dermopati tiroid, pengaruh pada sistem kardiovaskular, hingga krisis tiroid. Prognosis bergantung dari kemungkinan remisi dan relaps, kemungkinan remisi lebih tinggi pada dewasa dibanding anak-anak.
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Referensi
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