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Synthesis and Regulation of Thyroid Hormones01:20

Synthesis and Regulation of Thyroid Hormones

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Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
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Functions of Thyroid Hormones01:18

Functions of Thyroid Hormones

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The thyroid hormone (TH) plays a pivotal role in the intricate orchestration of physiological processes, exerting profound effects on development, metabolism, and homeostasis throughout different life stages.
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
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The Thyroid Gland01:23

The Thyroid Gland

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The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
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Major Hormones and Their Functions01:27

Major Hormones and Their Functions

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Hormones, the biochemical messengers produced by endocrine glands, are pivotal in regulating bodily functions and maintaining homeostasis. Each hormone's balance is crucial; imbalances can lead to significant physiological disruptions. Major hormones include oxytocin, cortisol, epinephrine, estrogen, testosterone, thyroxine, growth hormone, insulin, and glucagon.
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
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Increased pulse rate01:17

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Tachycardia is a condition marked by an abnormally fast or irregular heart rate, surpassing the typical resting rate. In adults, tachycardia is characterized by a pulse rate ranging from 100 to 180 beats per minute. The increased heart rate can result in inadequate blood flow to various body parts, ultimately diminishing the oxygen supply to organs and tissues.
Many factors can elevate the risk of developing tachycardia. These include advanced age, a family history of arrhythmias, and an...
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Adrenal Gland Disorders01:27

Adrenal Gland Disorders

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Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
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Updated: Mar 23, 2026

Author Spotlight: Integrating Ultrasound Imaging with Biochemical Markers for Thyroid Disease Diagnosis
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Author Spotlight: Integrating Ultrasound Imaging with Biochemical Markers for Thyroid Disease Diagnosis

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Hipertiroidismo

Simone De Leo1, Sun Y Lee1, Lewis E Braverman1

  • 1Endocrine Unit, Fondazione IRCCS Cà Granda, Milan, Italy (S De Leo MD); Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy (S De Leo); and Section of Endocrinology, Diabetes and Nutrition, Boston University School of Medicine, Boston, MA, USA (S De Leo, S Y Lee MD, Prof L E Braverman MD).

Lancet (London, England)
|April 4, 2016
PubMed
Resumen
Este resumen es generado por máquina.

El hipertiroidismo implica una producción hiperactiva de hormonas tiroideas, mientras que la tirotoxicosis es el estado clínico resultante. La enfermedad de Graves y el bocio nodular tóxico son causas comunes, con enfoques de tratamiento variados para cada uno.

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Área de la Ciencia:

  • Endocrinología
  • Médico interno
  • Enfermedad de la tiroides

Sus antecedentes:

  • El hipertiroidismo se define por la síntesis y secreción excesivas de hormonas tiroideas.
  • La tirotoxicosis describe el síndrome clínico de hormonas tiroideas circulantes elevadas de cualquier fuente.
  • La enfermedad de Graves y el bocio nodular tóxico son las etiologías principales del hipertiroidismo.

Objetivo del estudio:

  • Para diferenciar el hipertiroidismo y la tirotoxicosis.
  • Describir las causas comunes y las estrategias de tratamiento de la tirotoxicosis.
  • Para abordar consideraciones especiales en el manejo del hipertiroidismo.

Principales métodos:

  • Revisión de la literatura existente sobre el hipertiroidismo y la tirotoxicosis.
  • Análisis de los factores etiológicos comunes.
  • Comparación de las modalidades de tratamiento para diferentes afecciones de la tiroides.

Principales resultados:

  • La enfermedad de Graves y el bocio nodular tóxico son las principales causas de hipertiroidismo.
  • El tratamiento para la enfermedad de Graves incluye medicamentos antitiroideos, yodo radiactivo o cirugía.
  • Los medicamentos antitiroideos han limitado el uso a largo plazo en bocio nodular tóxico debido a las tasas de recaída.

Conclusiones:

  • El manejo de la tirotoxicosis varía según la etiología, con enfoques distintos para la enfermedad de Graves y el bocio nodular tóxico.
  • Los betabloqueantes son cruciales para el alivio sintomático de la tirotoxicosis.
  • Las poblaciones especiales como las mujeres embarazadas o posparto requieren un tratamiento personalizado del hipertiroidismo.