{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:26:37Z","timestamp":1783488397674,"version":"3.55.0"},"reference-count":10,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,12,19]],"date-time":"2020-12-19T00:00:00Z","timestamp":1608336000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Apheresis"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Hyperthyroidism affects approximately 1.2% of the population and its routine treatment includes antithyroid drugs (ATDs), radioiodine and surgery. Management of patients with resistance or contraindications to ATDs who require thyroidectomy may be challenging. We present the experience of our department in preparing thyrotoxic patients for life\u2010saving thyroidectomy by using therapeutic plasma exchange (TPE) with albumin: one patient with Graves' disease and previous history of agranulocytosis and cholestatic jaundice after ATDs and two patients with amiodarone\u2010induced thyrotoxicosis. Five to six TPEs were applied to each patient resulting in a decrease of fT3 by 57% to 83%, fT4 by 21% to 60% and decrease\/normalization of total thyroid hormones. All patients underwent surgery successfully. In case of drug\u2010resistant thyrotoxicosis or contraindications to ATDs, TPE can be a valuable tool in preparing patients for surgery. Albumin used as a replacement fluid appears to be effective in ameliorating clinical and laboratory symptoms of thyrotoxicosis.<\/jats:p>","DOI":"10.1002\/jca.21866","type":"journal-article","created":{"date-parts":[[2020,12,19]],"date-time":"2020-12-19T11:22:37Z","timestamp":1608376957000},"page":"496-498","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Therapeutic plasma exchange with albumin as a valuable method of preparing thyrotoxic patients for a life\u2010saving thyroidectomy"],"prefix":"10.1002","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2120-1368","authenticated-orcid":false,"given":"Kamila","family":"Ta\u0144ska","sequence":"first","affiliation":[{"name":"Department of Endocrinology Centre of Postgraduate Medical Education, Biela\u0144ski Hospital  Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorota","family":"Leszczy\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Centre of Postgraduate Medical Education, Biela\u0144ski Hospital  Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piotr","family":"Glinicki","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Centre of Postgraduate Medical Education, Biela\u0144ski Hospital  Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renata","family":"Kapu\u015bci\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Centre of Postgraduate Medical Education, Biela\u0144ski Hospital  Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marek","family":"Szczepkowski","sequence":"additional","affiliation":[{"name":"Department of Colorectal General and Oncological Surgery, Centre of Postgraduate Medical Education, Biela\u0144ski Hospital  Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marek","family":"Dedecjus","sequence":"additional","affiliation":[{"name":"Department of Endocrine Oncology and Nuclear Medicine Maria Sk\u0142odowska\u2010Curie Memorial Cancer Center and Institute of Oncology  Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"El\u017cbieta","family":"Stachlewska\u2010Nasfeter","sequence":"additional","affiliation":[{"name":"Department of Endocrine Oncology and Nuclear Medicine Maria Sk\u0142odowska\u2010Curie Memorial Cancer Center and Institute of Oncology  Warsaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Izabela","family":"Brym","sequence":"additional","affiliation":[{"name":"Department of Nephrology and Internal Medicine Centre of Postgraduate Medical Education, Biela\u0144ski Hospital  Warsaw 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Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,12,19]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2016.0229"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2010-0180"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jca.20200"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-9987.2011.01003.x"},{"key":"e_1_2_6_6_1","first-page":"4135940","article-title":"Severe hyperthyroidism complicated by agranulocytosis treated with therapeutic plasma exchange: case report and review of the literature","volume":"2018","author":"Garla V","year":"2018","journal-title":"Case Rep 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