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亚临床甲状腺功能减退或中枢性甲状腺功能减退——甲状腺功能误判的风险

Subclinical hypothyroidism or central hypothyroidism-The danger of thyroid function misinterpretation.

作者信息

Anyiam Oluwaseun, Cheung Billy, Al-Sabbagh Samer

机构信息

East and North Hertfordshire NHS Trust Stevenage Hertfordshire UK.

Present address: Homerton University Hospital London UK.

出版信息

Clin Case Rep. 2018 Aug 21;6(10):1953-1957. doi: 10.1002/ccr3.1694. eCollection 2018 Oct.

Abstract

Correct interpretation of thyroid function tests is critical to providing appropriate care to patients with suspected thyroid disease. It is particularly important to distinguish central hypothyroidism from other types due to the potential of concurrent secondary adrenal insufficiency and thus the need for immediate steroid replacement prior to commencing thyroxine.

摘要

正确解读甲状腺功能测试对于为疑似甲状腺疾病患者提供恰当治疗至关重要。区分中枢性甲状腺功能减退与其他类型尤为重要,因为可能并发继发性肾上腺功能不全,因此在开始使用甲状腺素之前需要立即进行类固醇替代治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a990/6186879/c2cd4c0d0eb8/CCR3-6-1953-g001.jpg

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