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El hipertiroidismo es el hipertiroidismo
1Division of Endocrinology, Sinai Hospital of Baltimore, Johns Hopkins University School of Medicine, MD 21215-5271, USA. dcooper@lifebridgehealth.org <dcooper@lifebridgehealth.org>
Lancet (London, England)
|August 21, 2003
Resumen
El hipertiroidismo, a menudo causado por la enfermedad de Graves, implica un exceso de hormona tiroidea. El diagnóstico suele ser claro, y el tratamiento depende de la causa específica, que va desde los medicamentos a la cirugía.
Área de la Ciencia:
- Endocrinología Endocrinología.
- Medicina interna es la medicina interna de las enfermedades.
Sus antecedentes:
- El hipertiroidismo es una condición caracterizada por una excesiva circulación de la hormona tiroidea.
- La enfermedad de Graves es la causa más frecuente, seguida por bocio multinodular tóxico y nódulos hiperfuncionantes solitarios.
Objetivo del estudio:
- Para revisar las causas, el diagnóstico y el tratamiento del hipertiroidismo.
- Para resaltar los desafíos en el diagnóstico y tratamiento de formas menos comunes de hipertiroidismo.
Principales métodos:
- Revisión de la literatura médica establecida sobre el hipertiroidismo.
- Análisis de los criterios de diagnóstico y las modalidades de tratamiento.
Principales resultados:
- El diagnóstico generalmente implica niveles elevados de hormonas tiroideas séricas y supresión de la tirotropina sérica.
- Los tratamientos comunes incluyen medicamentos antitiroideos, yodo radiactivo y cirugía para las causas prevalentes.
- Los betabloqueantes ofrecen alivio sintomático y pueden ser suficientes para la tiroiditis transitoria.
Conclusiones:
- El manejo eficaz del hipertiroidismo requiere una identificación precisa de la etiología subyacente.
- Las causas poco comunes como el estruma ovari, los tumores secretores de tirotropina, el coriocarcinoma y la tirotoxicosis inducida por amiodarona presentan complejidades diagnósticas y terapéuticas.
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