Looking for Hashimoto’s Thyroiditis:22-Year-Old Woman with Elevated TSH and Normal Free T4 скачать в хорошем качестве

Looking for Hashimoto’s Thyroiditis:22-Year-Old Woman with Elevated TSH and Normal Free T4

Presenting Author: Afnan Moh'd Ayman Abu Sarar, BS, MD Co-Authors: Afnan Abu Sarar, MD, AU/UGA Medical Partnership, Athens, GA, Theresa M. Rohr-Kirchgraber, MD, Internal Medicine, AU/UGA Medical Partnership, Athens, GA. Subclinical hypothyroidism may not be “subclinical” to patients who may have vague, concerning symptoms. Hashimoto thyroiditis, an autoimmune disorder characterized by the gradual onset of a chronic lymphocytic thyroiditis in which the diagnosis is often delayed if the thyroid peroxidase antibodies (TPO) are not checked. In this case, the patient’s persistence led to the diagnosis. Though the treatment of subclinical hypothyroidism is controversial, we support that the recognition of the presence of the TPO antibodies indicates that the autoimmune process will continue and that management would include thyroid replacement earlier than has been recommended for subclinical hypothyroidism. Proactive thyroid health management is crucial, especially for women of reproductive age, due to the impact on fertility and overall well-being. 1.Feldt-Rasmussen U, Høier-Madsen M, Bech K, et al. Anti-thyroid peroxidase antibodies in thyroid disorders and non-thyroid autoimmune diseases. Autoimmunity. 1991;9(3):245-254. doi:10.3109/08916939109007650 2.Gosi SKY, Garla VV. Subclinical Hypothyroidism. In: StatPearls. Treasure Island (FL): StatPearls Publishing; March 20, 2023. 3.Hu X, Chen Y, Shen Y, et al. Correlation between Hashimoto's thyroiditis and polycystic ovary syndrome: A systematic review and meta-analysis. Front Endocrinol (Lausanne). 2022;13:1025267. Published 2022 Oct 31. doi:10.3389/fendo.2022.1025267 4.Mincer DL, Jialal I. Hashimoto Thyroiditis. In: StatPearls. Treasure Island (FL): StatPearls Publishing; July 29, 2023. 5.Quintino-Moro A, Zantut-Wittmann DE, Tambascia M, Machado Hda C, Fernandes A. High Prevalence of Infertility among Women with Graves' Disease and Hashimoto's Thyroiditis. Int J Endocrinol. 2014;2014:982705. doi:10.1155/2014/982705