Thyroid function testing

最后审阅: 21 Jan 2026
最后更新: 02 Apr 2024

小结

详细信息

  • Thyroid hormone production
  • Thyroid hormone-binding proteins
  • Indications for TFTs: general considerations
  • Known thyroid dysfunction and preconception
  • Screening for thyroid dysfunction during pregnancy
  • Screening for congenital hypothyroidism
  • TFTs
  • Low TSH - associated with a high FT4 and/or FT3
  • Low TSH - associated with a low FT4 and/or FT3
  • Low TSH - associated with a normal FT4 and/or FT3
  • High TSH - associated with a high FT4 and/or FT3
  • High TSH - associated with a low FT4 and/or FT3
  • High TSH - associated with a normal FT4 and/or FT3
  • Normal TSH - associated with a low FT4 and/or FT3
  • Drug effects
完整详情

撰稿人

作者

Joel Ehrenkranz, MD

Associate Professor

Division of Chemistry and Chemical Engineering

California Institute of Technology

Pasadena

CA

利益声明

JE declares that he has served on a writing group for the American Thyroid Association which drafted an article on thyroid function testing and was submitted for publication to the journal Thyroid.

鸣谢

Dr Joel Ehrenkranz would like to gratefully acknowledge Dr Mae Sheikh-Ali, Dr Harshit Shah, Dr Melanie Thomas, Dr Anna Szafran-Swietlik, Dr Sandra Mesliniene, Dr Emad Naem, and Dr Abdul-Razzak Alamir, previous contributors to this topic. HS, MT, AS-S, SM, EN, and A-RA declare that they have no competing interests. MS-A declares she is a speaker for IBSA and AbbVie. Both have brand names for levothyroxine (LT4) medication.

同行评议者

Ronald Merrell, MD

Professor of Surgery

Virginia Commonwealth University

Richmond

VA

利益声明

RM declares that he has no competing interests.

Georg Hennemann, MD

Professor of Medicine and Endocrinology

Medical Center Spijkenisse

The Hague

The Netherlands

利益声明

Not disclosed.

Simon Pearce, MD

Professor of Endocrinology

Newcastle University

Endocrine Unit

Royal Victoria Infirmary

Newcastle upon Tyne

UK

利益声明

SP declares that he has no competing interests.

V.S. Schneider, MD

Clinical Associate Professor of Medicine

Uniformed Services University of the Health Sciences

Bethesda

MD

MA and Senior Medical Advisor

NASA Headquarters

Washington

DC

Declarações

VSS declares that he has no competing interests.

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Referências

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

Principais artigos

Ross DS, Burch HB, Cooper DS, et al. 2016 American Thyroid Association guidelines for diagnosis and management of hyperthyroidism and other causes of thyrotoxicosis. Thyroid. 2016 Oct;26(10):1343-1421.Texto completo  Resumo

Garber JR, Cobin RH, Gharib H, et al. Clinical practice guidelines for hypothyroidism in adults co-sponsored by the American Association of Clinical Endocrinologists and the American Thyroid Association. Thyroid. 2012 Dec;22(12):1200-35.Texto completo  Resumo

Alexander EK, Pearce EN, Brent GA, et al. 2017 guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and the postpartum. Thyroid. 2017 Mar;27(3):315-89.Texto completo  Resumo

National Institute for Health and Care Excellence. Thyroid disease: assessment and management. 2023 [internet publication].Texto completo

Artigos de referência

Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.

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