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Related Experiment Videos

Thyroid function abnormalities in HIV-infected patients.

Christopher J Hoffmann1, Todd T Brown

  • 1Division of Infectious Diseases, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA.

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
|July 20, 2007
PubMed
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Abnormal thyroid function tests are common in human immunodeficiency virus (HIV)-infected patients, with specific patterns like subclinical hypothyroidism and low thyroxine levels increasing during treatment. Routine screening for asymptomatic individuals is not recommended.

Area of Science:

  • Endocrinology
  • Infectious Diseases
  • Clinical Chemistry

Background:

  • Abnormal thyroid function tests are frequent in human immunodeficiency virus (HIV)-infected individuals.
  • Overt thyroid disease prevalence is similar to the general population, but specific abnormal patterns are more common.
  • Nonthyroidal illness (euthyroid sick syndrome) is prevalent in advanced acquired immunodeficiency syndrome.

Purpose of the Study:

  • To review current evidence on optimal laboratory evaluation of thyroid function in HIV-infected patients.
  • To highlight causes, presentation, and treatment of thyroid dysfunction in this population.
  • To discuss controversies surrounding thyroid screening in HIV-infected individuals.

Main Methods:

  • Literature review of current evidence on thyroid function testing and dysfunction in HIV-infected patients.

Related Experiment Videos

  • Summary of findings on specific thyroid conditions like subclinical hypothyroidism, isolated low free thyroxine, and Graves disease.
  • Discussion of diagnostic approaches and screening recommendations.
  • Main Results:

    • Subclinical hypothyroidism (elevated thyroid-stimulating hormone) and isolated low free thyroxine levels are more prevalent during antiretroviral therapy.
    • Graves disease can occur during immune reconstitution.
    • Thyroid function testing in symptomatic patients should start with thyroid-stimulating hormone measurement.

    Conclusions:

    • There is insufficient evidence to recommend routine thyroid screening for asymptomatic HIV-infected individuals.
    • Optimal laboratory evaluation and management of thyroid dysfunction in HIV-infected patients require careful consideration of specific clinical contexts.
    • Further research may clarify screening guidelines and optimal diagnostic strategies.