Hipertiroidismo

  1. M. Toni 1
  2. J. Pineda 2
  3. E. Anda 2
  4. J.C. Galofré 2
  1. 1 Servicio de Endocrinología y Nutrición. Hospital García Orcoyen. Estella. Navarra. España
  2. 2 Instituto de Investigación Sanitaria de Navarra (IdiSNA). Pamplona. Navarra. España
Journal:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Year of publication: 2016

Issue Title: Enfermedades endocrinológicas y metabólicas (I) Patología del tiroides

Series: 12

Issue: 13

Pages: 731-741

Type: Article

DOI: 10.1016/J.MED.2016.06.003 DIALNET GOOGLE SCHOLAR

More publications in: Medicine: Programa de Formación Médica Continuada Acreditado

Sustainable development goals

Abstract

Introduction Hyperthyroidism is a condition in which the thyroid gland produces excessive thyroxin hormone. Epidemiology The prevalence is around 1.3%. When subclinical hyperthyroidism is included the prevalence raises to 6%. Causes Graves’ disease, toxic multinodular goiter and toxic adenoma are the most common causes of hyperthyroidism. Clinical findings The more prevalent symptoms are those related to the heart. Potential complications include high risk of atrial fibrillation and increased risk of osteoporosis. Diagnosis The diagnosis is based in the measurement of serum free T4, T3 and TSH. The evaluation of thyroid stimulating immunoglobulin, thyroid peroxidase, thyroglobulin antibodies, the thyroid scintigraphy, and ultrasound scan are useful in the differential diagnosis. Treatment Management of Graves’ disease includes treatment with antithyroid drugs, iodine-131 and thyroidectomy. The optimal approach depends on the etiology, specific patient clinical features, and patient preference.

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