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Case Reports
. 2018 Aug 21;6(10):1953-1957.
doi: 10.1002/ccr3.1694. eCollection 2018 Oct.

Subclinical Hypothyroidism or Central hypothyroidism-The Danger of Thyroid Function Misinterpretation

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Free PMC article
Case Reports

Subclinical Hypothyroidism or Central hypothyroidism-The Danger of Thyroid Function Misinterpretation

Oluwaseun Anyiam et al. Clin Case Rep. .
Free PMC article

Abstract

Correct interpretation of thyroid function tests is critical to providing appropriate care to patients with suspected thyroid disease. It is particularly important to distinguish central hypothyroidism from other types due to the potential of concurrent secondary adrenal insufficiency and thus the need for immediate steroid replacement prior to commencing thyroxine.

Keywords: acute medicine; adrenal insufficiency; empty sella; endocrinology; hypothyroidism.

Figures

Figure 1
Figure 1
Coronal and sagittal sections of the patient's pituitary magnetic resonance imaging (MRI)
Figure 2
Figure 2
Diagram showing the range of potential thyroid function test results and their causes (adapted from Koulouri and Gurnell, 201317)

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