Thyroidectomy is more effective than medical management for relieving persistent symptoms in euthyroid patients with Hashimoto disease, according to results from a Norwegian trial.

“Thyroidectomy should be the standard of care when the patient still has autoimmune symptoms persisting in a euthyroid state,” Dr Ivar Guldvog from Telemark Hospital, in Skien, said. “The main reason is that there is no alternative.”