Hipotiroidizm Kılavuzu yayımlandı… (İng)
Hypothyroidism Guidelines Released
New guidelines on managing hypothyroidism in adults have been issued by the American Association of Clinical Endocrinologists and the American Thyroid Association.
Published online in Thyroid, the guidelines comprise 52 evidence-based recommendations. These include:
- When evaluating hypothyroidism, serum free thyroxine should be measured rather than total thyroxine; in pregnant patients, total thyroxine or a free thyroxine index, in addition to thyroid-stimulating hormone, should be used.
- Neither serum total triiodothyronine nor free triiodothyronine should be used for diagnosis.
- Patients with hypothyroidism should receive L-thyroxine monotherapy.
The authors write that “while there is no consensus about population screening for hypothyroidism there is compelling evidence to support case-finding for hypothyroidism” in patients with automimmune disease and psychiatric disorders, among other conditions.