Management of Subclinical Hypothyroidism

Authors

  • Shaheda Ahmed BGC Trust Medical College, Chandanyaish, Chittagong
  • A S M Towhidul Alam Cox?s Bazar Medical College, Cox?s Bazar

DOI:

https://doi.org/10.3329/cmoshmcj.v13i3.21045

Keywords:

Subclinical hypothyroidism, TSH, T3, T4

Abstract

Objective: To review current concepts in the management of subclinical hypothyroidism (SCH) in patients with non-specific symptoms.

Data sources: A review of articles reported on overt hypothyroidism and subclinical hypothyroidism. Summary of review: In a patient with primary overt hypothyroidism, management is usually straightforward: treatment with thyroxine should be offered to anyone with characteristic clinical features, a raised serum thyroid stimulating hormone (TSH) concentration and a low serum thyroxine (T4) concentration. More difficult is the management of a patient with subclinical hypothyroidism (SCH), in whom serum TSH is slightly raised (5-20 mIU/L) but T3, T4 levels are normal, and who is either asymptomatic or has only non-specific symptoms. Left untreated, some of these patients will eventually develop overt hypothyroidism. This review will address the use of thyroxine in patients with subclinical hypothyroidism.

DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i3.21045

 

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Author Biographies

Shaheda Ahmed, BGC Trust Medical College, Chandanyaish, Chittagong

Department of Biochemistry

A S M Towhidul Alam, Cox?s Bazar Medical College, Cox?s Bazar

Department of Biochemistry

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Published

2014-11-30

How to Cite

Ahmed, S., & Alam, A. S. M. T. (2014). Management of Subclinical Hypothyroidism. Chattagram Maa-O-Shishu Hospital Medical College Journal, 13(3), 93–96. https://doi.org/10.3329/cmoshmcj.v13i3.21045

Issue

Section

Review Articles