Table 1

Features which may help to distinguish between type I and type II amiodarone induced hyperthyroidism

Type I Type II
Pre-existing thyroid diseaseYesNo
GoitreDiffuse or nodularUncommon, may be tender
Radioiodine uptake by thyroidLow normalNegligible
TSH receptor antibodies in serumMay be presentAbsent
Antiperoxidase (microsomal antibodies in serum)May be presentMay be present
Serum IL-6Normal or slightly elevatedVery elevated
Subsequent hypothyroidismNoPossible
  • IL-6, interleukin 6.