Interpretation of thyroid function tests

Medicina y Laboratorio

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Title Interpretation of thyroid function tests
Interpretación de las pruebas de función tiroidea
 
Creator Forero-Saldarriaga, Santiago
Puerta Rojas, José D.
Correa-Parra, Laura
 
Subject Thyroid disease
thyroid function test
thyroid stimulating hormone
thyroid hormones
thyroxine
triiodothyronine
enfermedad tiroidea
prueba de función tiroidea
hormona estimulante de tiroides
hormonas tiroideas
tiroxina
triyodotironina.
 
Description Thyroid gland disorders are common and can affect up to 10% of the general population. In many cases the symptoms can be nonspecific, so the physician in search for a thyroid disorder should reach a functional and anatomical diagnosis. Serum measurements of thyroid hormones confirm if there is an excess, a deficit, or if concentrations are normal. For this, reference ranges of the local population, and specifically by age groups, are required for a correct interpretation of thyroid function tests. Thyroid hormones play a fundamental role in the endocrine system, control of the general metabolism of the body, neural development, normal growth and maturation of bones, as well as in cardiovascular and renal functions, among others. In this review, the most relevant thyroid tests will be described, starting with the biosynthesis and secretion of thyroid hormones, and continuing with an approach to reach an initial diagnosis. Finally, the most important aspects of the different thyroid patterns will be mentioned. It is beyond the scope of this review, to describe the treatment for thyroid disorders.
Los desórdenes de la glándula tiroides son comunes y pueden afectar hasta el 10% de la población en general. En muchas ocasiones los síntomas pueden ser inespecíficos, por lo que el médico en busca de un trastorno tiroideo debe llegar a un diagnóstico funcional y anatómico. Las mediciones séricas de las hormonas tiroideas confirman si hay un exceso, un déficit o si las concentraciones son normales. Para ello, se requiere un rango de referencia de la población local, y específicamente por grupos de edad, para una correcta interpretación de las pruebas de función tiroidea. Las hormonas tiroideas juegan un papel fundamental en el sistema endocrino, controlan el metabolismo general del cuerpo, el desarrollo neural, el crecimiento normal y la maduración de los huesos, así como funciones cardiovasculares y renales, entre otras. En esta revisión se pretende dar una aproximación a las pruebas tiroideas más relevantes, partiendo de la biosíntesis y secreción de las hormonas tiroideas, hasta llegar al abordaje para un diagnóstico inicial del paciente con trastorno tiroideo, mencionando los aspectos más importantes de los diferentes patrones tiroideos. El tratamiento detallado de cada uno de ellos, supera las expectativas de esta revisión.
 
Publisher EDIMECO S.A.
 
Date 2020-03-03
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
 
Format application/pdf
 
Identifier https://medicinaylaboratorio.com/index.php/myl/article/view/209
10.36384/01232576.209
 
Source Medicina & Laboratorio; Vol. 24 No. 2 (2020): Abril-Junio; 93-109
Medicina y Laboratorio; Vol. 24 Núm. 2 (2020): Abril-Junio; 93-109
2500-7106
0123-2576
 
Language spa
 
Relation https://medicinaylaboratorio.com/index.php/myl/article/view/209/190
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Rights Derechos de autor 2020 Medicina&Laboratorio
https://creativecommons.org/licenses/by-nc-nd/4.0/
 

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