Summary
Detalhes
- Producción de hormonas tiroideas
- Proteínas fijadoras de hormonas tiroideas
- Indicaciones para las PFT: consideraciones generales
- Disfunción tiroidea conocida y preconcepción
- Cribado para detectar disfunción tiroidea durante el embarazo
- Cribado de hipotiroidismo congénito
- pruebas de función tiroidea (PFT)
- TSH baja, asociada a un nivel alto de tiroxina libre (FT4) y/o triyodotironina libre (FT3)
- TSH baja, asociada a un nivel bajo de tiroxina libre (FT4) y/o triyodotironina libre (FT3)
- TSH baja, asociada a un nivel normal de tiroxina libre (FT4) y/o triyodotironina libre (FT3)
- TSH alta, asociada a un nivel alto de tiroxina libre (FT4) y/o triyodotironina libre (FT3)
- TSH alta, asociada a un nivel bajo de tiroxina libre (FT4) y/o triyodotironina libre (FT3)
- TSH alta, asociada a un nivel normal de tiroxina libre (FT4) y/o triyodotironina libre (FT3)
- TSH normal, asociada a un nivel bajo de tiroxina libre (FT4) y/o triyodotironina libre (FT3)
- Efectos de los fármacos
Colaboradores
Autores
Joel Ehrenkranz, MD
Associate Professor
Division of Chemistry and Chemical Engineering
California Institute of Technology
Pasadena
CA
Declarações
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.
Agradecimentos
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.
Revisores
Ronald Merrell, MD
Professor of Surgery
Virginia Commonwealth University
Richmond
VA
Declarações
RM declares that he has no competing interests.
Georg Hennemann, MD
Professor of Medicine and Endocrinology
Medical Center Spijkenisse
The Hague
The Netherlands
Declarações
Not disclosed.
Simon Pearce, MD
Professor of Endocrinology
Newcastle University
Endocrine Unit
Royal Victoria Infirmary
Newcastle upon Tyne
UK
Declarações
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
Disclosures
VSS declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
References
Key articles
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.Full text Abstract
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.Full text Abstract
National Institute for Health and Care Excellence. Thyroid disease: assessment and management. 2023 [internet publication].Full text
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.Full text Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Patient information
Tiroides hipoactiva
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