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Principles of diagnosis and treatment of hypothyroidism today

https://doi.org/10.21518/2079-701X-2013-4-2-76-81

Abstract

The relevance of hypothyroidism in clinical practice of doctor of any specialty causes no doubt. Hypothyroidism is one of the most frequent diseases of the endocrine system. According to some epidemiological studies, in specific population groups the prevalence of subclinical hypothyroidism reaches 1012% [6, 13, 16]. The last decade saw a number of new papers devoted to the problem of hypothyroidism, which transformed our idea of the entire thyroid pathology. This is primarily conditioned by the introduction of new thyroid hormone medications into clinical practice Indeed, for the patient, against a background of hardly a burdensome intake of drugs, hypothyroidism, in fact, ceases to be a disease and turns into a way of life with virtually no special restrictions. In the modern world hypothyroidism is no longer considered to be a complication of surgical treatment for Graves' disease (diffuse toxic goiter) and I therapy131, but became their goal. At the same time, hypothyroidism remains the only irrefutable and vital indication for prescribing thyroid hormones.

About the Author

V. V. Fadeyev
Endocrinological Scientific Centre, Russian Ministry of Health, professor at endocrinology department, First Moscow State Medical University named after I.M.Sechenov
Russian Federation


References

1. Левченко И.А., Фадеев. В.В. // Пробл. эндокринол. 2002. Т. 48. №2. С. 13-22.

2. Фадеев В.В., Лесникова С.В. // Пробл. эндокринол. 2003. Т. 49. №2. С. 23-31.

3. Фадеев В.В., Мельниченко Г.А. Гипотиреоз: руководство для врачей. М.: РКИ Северо пресс, 2002.

4. Barakate M.S., Agarwal G., Reeve T.S. et al. // ANZ J. Surg. 2002. Vol. 72. P. 321-324.

5. Bunevicius R., Kazanavicius G., Zalinkevicius R., Prange A.J. // N. Engl. J. Med. 1999. Vol. 340. P. 424-429.

6. Canaris G.J., Manowitz N.R., Mayor G., Ridgway E.C. // Arch. Intern. Med. 2000. Vol. 160. P. 526-534.

7. Danese M.D., Ladenson P.W., Meinert C.L., Powe N.R. // J. Clin. Endocrinol. Metab. 2000. Vol. 85. №9. P. 29933001.

8. Hollowell J.G., Staehling N.W., Flanders W.D. et al. // J. Clin. Endocrinol. Metab. 2002. Vol. 87. P. 489-499

9. International thyroid testing guidelines. National academy of clinical biochemistry. Los Angeles, 2001. (http://www.nacb.org/Thyroid_LMPG.htm).

10. Garber J.R., Cobin R.H., Gharib H. et al. American Association of Clinical Endocrinologists and American Thyroid Association Taskforce on Hypothyroidism in Adults // Endocr. Pract. 2012. №18(6). P. 9881028.

11. O'Reilly D. // BMJ. 2000. Vol. 320. P. 13321334.

12. Palit T.K., Miller C.C., Miltenburg D.M. // J. Surg. Res. 2000. Vol. 90. P. 161–165.

13. Parle J.V., Franklyn J.A., Cross K.W. et al. // Br. J. Gen. Pract. 1993. Vol. 43. P. 107–109.

14. Peterson K., Bengtsson C., Lapidus L. et al. // Arch. Intern. Med. 1990. Vol. 150. P. 2077–2081.

15. Saravanan P., Chau W.F., Roberts N. et al. // Clin. Endocrinology. 2002. Vol. 57. P. 577–585.

16. Vanderpump M., Tunbridge W. // Thyroid. 2002. Vol. 12. P. 839–847.

17. Vanderpump M.P., Tunbridge W.M., French J.M. et al. // Clin. Endocrinol. 1995. Vol. 43. №1. P. 55–68.


Review

For citations:


Fadeyev VV. Principles of diagnosis and treatment of hypothyroidism today. Meditsinskiy sovet = Medical Council. 2013;(4-2):76-81. (In Russ.) https://doi.org/10.21518/2079-701X-2013-4-2-76-81

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ISSN 2079-701X (Print)
ISSN 2658-5790 (Online)