BARRY I. JOFFE, M.R.C.P.; BERNARD L. PIMSTONE, M.R.C.P.
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To the editor: In the editoral note on the use of sympathetic blockade for the management of hyperthyroidism May 1970 ANNALS (1) Drs. Riddle and Schwartz have given an excellent review of the current position.
We wish to comment on our purported challenge to the view that adrenergic blocking agents (especially the beta-blocker, propranolol) should not be used alone in the therapy of hyperthyroidism. In our study (2) we concluded that propranolol might be adequate as sole treatment when a complete response—including significant increase in weight—occurred rapidly. As Table 1 indicates, this appears to be synonymous with spontaneous remission, so
JOFFE BI, PIMSTONE BL. New Tactics for Hyperthyroidism: Sympathetic Blockade. Ann Intern Med. ;73:1044. doi: 10.7326/0003-4819-73-6-1044_1
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Published: Ann Intern Med. 1970;73(6):1044.
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