Update on subclinical thyroid dysfunction

被引：11
作者：
Hashimoto, Koshi [1 ]
机构：
[1] Dokkyo Med Univ, Saitama Med Ctr, Dept Diabet Endocrinol & Hematol, 2-1-50 Minami Koshigaya, Saitama 3438555, Japan
来源：
ENDOCRINE JOURNAL | 2022年 / 69卷 / 07期
关键词：
Subclinical hypothyroidism (SCH); Subclinical hyperthyroidism (SCHyper); TSH harmonization; CORONARY-HEART-DISEASE; ALL-CAUSE MORTALITY; CLINICAL-PRACTICE GUIDELINES; 5-YEAR FOLLOW-UP; RISK-FACTORS; CARDIOVASCULAR RISK; AMERICAN ASSOCIATION; LEVOTHYROXINE REPLACEMENT; MYOCARDIAL-INFARCTION; NATURAL-HISTORY;
D O I：
10.1507/endocrj.EJ22-0182
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Subclinical thyroid dysfunction is defined by serum thyroid-stimulating hormone (TSH) levels either greater or less than the reference range with normal thyroxine (T4) concentrations, and consists of subclinical hypothyroidism (SCH) and subclinical hyperthyroidism (SCHyper). For the proper diagnosis of SCH, it is most important to be able to correctly evaluate the serum TSH levels, which have numerous unique characteristics. We also need to be versed in TSH harmonization, which was recently launched world-wide. In this review, we will attempt to determine the best clinical approaches to the treatment of subclinical thyroid dysfunction based on recent guidelines published from several countries and novel findings of several recent large-scale clinical studies.
引用
收藏
页码：725 / 738
页数：14
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