Hipotiroidismo

  1. Trifu, D.S. 1
  2. Gil-Fournier Esquerra, N. 2
  3. Peláez Torres, N. 2
  4. Álvarez Hernández, J. 2
  1. 1 Sección de Endocrinología y Nutrición, Hospital Comarcal de Melilla, Melilla, España
  2. 2 Sección de Endocrinología y Nutrición, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España
Journal:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Year of publication: 2020

Issue Title: Enfermedades endocrinológicas y metabólicas (I)Patología tiroidea

Series: 13

Issue: 13

Pages: 727-734

Type: Article

DOI: 10.1016/J.MED.2020.07.003 DIALNET GOOGLE SCHOLAR

More publications in: Medicine: Programa de Formación Médica Continuada Acreditado

Abstract

Hypothyroidism is the most common endocrine disorder both in primary and specialized care. A suitable knowledge of their pathophysiology and natural history allows us to distinguish between diseases with a self-limited or indolent presentation from those requiring closer attention and management, (especially multi-pathological patient, elderly or pregnant woman). We need to learn to decide with ease when to perform serum TSH determinations as screening or as follow-up in already diagnosed patients, to make appropriate treatment modifications and to consult or refer to the specialist in case of doubts. In most cases, diagnosis and treatment are easy, however differential diagnosis have to be taken in to account. To treat or not to treat, is a medical decision. Fluent patient-physician communication is crucial, since treatment is often chronic.

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Data source: Dialnet