干扰甲状腺功能测试的复杂网络
Huda Al-Bahadili1, Jennifer Powers Carson1, Alexander Markov2
1Division of Endocrinology, Metabolism and Lipid Research, Washington University in St. Louis, School of Medicine, St. Louis, Missouri.
概括
甲状腺功能测试可能会因为常见的测定和药物干扰而导致误导. 识别这些干扰对于准确诊断和治疗甲状腺疾病的患者至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 临床化学 临床化学
- 药理学 药理学是指药理学的学科.
背景情况:
- 甲状腺疾病很普遍,血清甲状腺刺激激素 (TSH) 是一个关键的诊断标志物.
- 甲状腺功能自动免疫测试容易受到干扰,可能会影响临床决策.
- 了解这些干扰对于准确的甲状腺疾病诊断至关重要.
研究的目的:
- 综合审查影响甲状腺功能测试的常见实验室测定和药物干扰.
- 讨论这些干扰如何导致甲状腺功能障碍的误诊.
- 突出未知的干扰的临床影响.
主要方法:
- 进行了PubMed的文献综述.
- 研究的重点是药物相关和实验室测试干扰影响甲状腺功能.
- 包括影响初级/二级甲状腺功能障碍和激素替代的干扰.
主要成果:
- 各种药物 (阿米奥达龙,,TKI,ICI,葡萄糖皮质激素) 可以干扰甲状腺功能测试.
- 测试来自生物素,异质抗体和其他干扰的干扰,可以模仿甲状腺功能障碍.
- 药物的作用扩展到甲状腺激素的吸收,新陈代谢和结合球蛋白水平.
结论:
- 测试干扰可以导致甲状腺功能测试异常,而没有潜在的甲状腺疾病.
- 当临床发现与试验结果相矛盾时,识别干扰是必不可少的.
- 准确的患者管理取决于识别和解决测试和药物干扰的问题.
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