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June 4, 1949, Vol 140, No. 5 >
ARTICLE | June 4, 1949

ROENTGEN IRRADIATION FOR THYROTOXICOSIS

L. H. Garland, M.D.
JAMA. 1949;140(5):493-494. doi:10.1001/jama.1949.02900400047021.
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ABSTRACT

To the Editor:—  The article in your April 16 issue by Robert H. Williams on selection of therapy for individual patients with thyrotoxicosis fails to accord roentgen irradiation the place it has established in the treatment of this disease.The author's point that initial treatment with thiouracil is applicable in many cases is well taken. His frank comments on the complications and bad effects of this drug are to be commended. His impression that irradiation is best given by radioiodine is hardly supported by his statement that "the main drawback of this type of treatment is the difficulty involved in selecting the appropriate dosage, errors in which may either cause myxedema or permit the thyrotoxicity to persist.... Radioiodine is distinctly less available throughout the country than are the other forms of therapy and, in the light of present information, it should remain so. Extensive use of it would pose a

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