Медицинский совет (Dec 2013)
Principles of diagnosis and treatment of hypothyroidism today
Abstract
The relevance of hypothyroidism in clinical practice of doctor of any specialty causes no doubt. Hypothyroidism is one of the most frequent diseases of the endocrine system. According to some epidemiological studies, in specific population groups the prevalence of subclinical hypothyroidism reaches 1012% [6, 13, 16]. The last decade saw a number of new papers devoted to the problem of hypothyroidism, which transformed our idea of the entire thyroid pathology. This is primarily conditioned by the introduction of new thyroid hormone medications into clinical practice Indeed, for the patient, against a background of hardly a burdensome intake of drugs, hypothyroidism, in fact, ceases to be a disease and turns into a way of life with virtually no special restrictions. In the modern world hypothyroidism is no longer considered to be a complication of surgical treatment for Graves' disease (diffuse toxic goiter) and I therapy131, but became their goal. At the same time, hypothyroidism remains the only irrefutable and vital indication for prescribing thyroid hormones.
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