Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Thyroid hormone ↓
• 20% patient with Hashimoto TSH-receptor
blocking antibodies
Thyroid hormone ↓
LABORATORY EVALUATION
TREATMENT
requires longlife treatment
- Levothyroxine (T4)
- Levothyroxine combined Lythironine (T3)
• Clinical Hypothyroidism
- No residual thyroid levothyroxine 1,6 µg/kgbw
(100-150 µg)
- Hypothyroidsm after the treatment of Grave’s
disease lower doses (75-125 µg)
• Goal of treatment is a normal TSH (ideally in
the lower half of the reference range).
• TSH responses are gradual and should be
measured about two months after instituting
treatment.
• Subclinical Hypothyroidism
- Starting with a low dose of levothyroxine (25–50 µg/d)
with the goal of normalizing TSH.