Abstract
BackgroundDuring clinical practice we have noticed that some patients with hyperthyroidism have finer skin with less wrinkles, pores, and spots after thyroidectomy, and the improvement can be observed within a few weeks after the operation. However, there is no evidence or study in the literature to proof this finding.Aim and objectiveThis study was designed to evaluate and quantify the skin characters of patients with hyperthyroidism before and after thyroidectomy.Material and methodsThis is a prospective study to include patients with hyperthyroidism who received total thyroidectomy between March 1st, 2018 and February 28th, 2019. The patients received blood test for T4 and TSH analysis and VISIA measurements for skin texture quantification, at the preoperative stage, three, and six months postoperatively. A total of 8 patients were included. Repeated measurement was used to determine the lab data and VISIA measurement changes before and after the operation. Mauchly’s sphericity test was performed to determine whether the violation of sphericity occurs, and the Greenhouse–Geisser correction was used when the violation of sphericity occurs.ResultsAll the patients were female and generally healthy without systemic medical disease except the hyperthyroidism. The T4 and TSH levels were not significantly different before and after the thyroidectomy. In terms of the skin character measurements, the wrinkles, texture, pores, UV spots, and brown spots were not improved after thyroidectomy. A trend of improvement in spots, red area, and porphyrin was noted, although not statistically significant.ConclusionsSurgical removal of the thyroid gland in patients with hyperthyroidism does not improve the skin quality and texture in examinations via the VISIA system.
Highlights
Surgical removal of the thyroid gland in patients with hyperthyroidism does not improve the skin qual‐ ity and texture in examinations via the VISIA system
Hyperthyroidism is a medical condition of excess synthesis and secretion of the thyroid hormones by the thyroid gland
We did notice a trend of improvement in spots (59.88 ± 28.180 vs. 53.38 ± 30.668 vs. 50.88 ± 28.412, p = 0.164), red area (90.50 ± 6.590 vs. 88.13 ± 6.896 vs. 81.13 ± 19.730, p = 0.140), and porphyrin (62.38 ± 37.713 vs. 34.50 ± 31.942 vs. 36.25 ± 37.909, Fig. 1 The VISIA photos of case number 1, taken at the preoperative stage (a), three months (b), and 6 months (c) postoperatively
Summary
Hyperthyroidism is a medical condition of excess synthesis and secretion of the thyroid hormones by the thyroid gland. It is characterized by low serum thyroid-stimulating hormone (TSH) concentrations and raised serum concentrations of thyroid hormones: thyroxine (T4), Kuo et al BMC Surg (2021) 21:94. Thyroidectomy surgeries are effective in treating hyperthyroidism patients with Grave’s disease, or those with toxic goiters and adenomas [6]. During clinical practice we have noticed that, some patients with hyperthyroidism, especially those with Grave’s disease, have an improvement in skin texture after thyroidectomy. During clinical practice we have noticed that some patients with hyperthyroidism have finer skin with less wrinkles, pores, and spots after thyroidectomy, and the improvement can be observed within a few weeks after the operation. There is no evidence or study in the literature to proof this finding
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