Original scientific paper

Incidentally Elevated Thyrotropin in otherwise Properly Treated Hypothyroid Patients does not Require Higher Levothyroxine Dose

Darko Solter ; Clinical Department of ENT , Head and Neck Surgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Miljenko Solter ; Department of Endocrinology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia

Abstract

In 20 properly treated hypothyroid patients with normal thyrotropin (TSH) values during previous observation, TSH was incidentally mildly/moderately elevated (4.5-8.0 mIU/L; normal values 0.4-4.0) on the last follow up. However, they were continuously treated with the same levothyroxine (LT 4) dose (mean: 95 μg) and six months later all TSH values normalized. The authors suggest that the physicians, in response to incidentally increased TSH value in otherwise properly treated hypothyroid patients, refrain from prompt increasing the LT 4 dose unless TSH values are persistently elevated or/and progressing.

Keywords

Hypothyroidism – therapy; Thyrotropin

Hrčak ID:

133145

URI

https://hrcak.srce.hr/133145

Publication date:

3.11.2014.

Article data in other languages: croatian

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