Acta clinica Croatica, Vol. 53. No. 3., 2014.
Izvorni znanstveni članak
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
Sažetak
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.
Ključne riječi
Hypothyroidism – therapy; Thyrotropin
Hrčak ID:
133145
URI
Datum izdavanja:
3.11.2014.
Posjeta: 1.181 *