Universität zu Köln

Faust, M. and Krone, W. (2014). Incidental finding: elevated TSH level. Internist, 55 (10). S. 1149 - 1157. NEW YORK: SPRINGER. ISSN 1432-1289

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Abstract

The use of thyroid-stimulating hormone (TSH) testing in routine laboratory screening and testing of TSH before administration of contrast medium, resulted in an increased number of incidentally detected elevated TSH levels. In the case of slightly increased values in asymptomatic patients, repeated measurement of TSH is recommended for confirmation. Confirmed elevated TSH levels should lead to additional measurements of the peripheral thyroid hormones, determination of thyroid autoantibodies and performance of thyroid gland ultrasound examination. The most common reasons for acquired subclinical and overt hypothyroidism are autoimmune diseases of the thyroid gland and in many cases substitution therapy with levothyroxine is then necessary. In subclinical hypothyroidism it remains unclear at which TSH levels the initiation of substitution therapy makes sense. In the case of simultaneously elevated peripheral thyroid hormones rare diseases, such as secondary hyperthyroidism and thyroid hormone resistance should be considered.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Faust, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Krone, W. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-427120
DOI:	10.1007/s00108-014-3589-4
Journal or Publication Title:	Internist
Volume:	55
Number:	10
Page Range:	S. 1149 - 1157
Date:	2014
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1432-1289
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language THYROID-HORMONE; POPULATION; THYROTROPIN; ANTIBODIES Multiple languages Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/42712