Approach to Subclinical Hypothyroidism in Adults

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Published: Jun 1, 2022
DOI: https://doi.org/10.32457/ijmss.v9i2.1883
Keywords:
Subclinical hypothyroidism, hypothyroidism, hypothyroidism management, Thyroid-stimulating hormone Hipotiroidismo subclínico, hipotiroidismo, manejo hipotiroidismo, Hormona estimulante de la tiroides

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How to Cite
Larco, J., & Larco Noboa, N. . (2022). Approach to Subclinical Hypothyroidism in Adults. International Journal of Medical and Surgical Sciences, 9(2), 1–11. https://doi.org/10.32457/ijmss.v9i2.1883
Issue
Vol. 9 No. 2 (2022): June 2022
Section
Research Article
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Approach to Subclinical Hypothyroidism in Adults

Main Article Content

Jesús Nicolás Larco Coloma
Pontificia Universidad Católica del Ecuador, Ecuador
https://orcid.org/0000-0001-8285-332X
Nicolás Larco Noboa
Facultad de Medicina, Universidad Central del Ecuador, Ecuador
https://orcid.org/0000-0002-8765-3666

Abstract

Thyroid pathology is the morphofunctional evolution of the thyroid glands that leads to different types of clinical pictures. Within it is subclinical hypothyroidism, which is a biochemical alteration due to the elevation of thyroid-stimulating hormone (TSH) between 4.5 to 10 mUI that can occur with or without symptoms of multifactorial origin. The worldwide prevalence is 4-10% and Latin America 15-25%. 90% of patients with this pathology do not require treatment, but in turn there is an overmedicalization and underdiagnosis of it. This bibliographic review analyzes from its morphofunctional changes towards clinical criteria for a comprehensive approach to subclinical hypothyroidism, where we have an individualization by its comorbidities, age group, diagnostic algorithm, follow-up and differentiated treatment according to recent studies within this pathology. Therefore, an adequate diagnosis, follow-up and treatment provides a better lifestyle for patients.

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