The Dramatic Outcome of the Late Diagnosis of the Chronic Autoimmune Thyroiditis with the Severe Primary Hypothyroidism
https://doi.org/10.20514/2226-6704-2023-13-2-144-154
Abstract
The article is devoted to the analysis of a clinical case of the severe hypothyroidism. A review of the “clinical masks” of the hypothyroidism is presented. The examination of the polymorbid patients should include the level of thyroid-stimulating hormone and thyroid hormones. The untimely initiation of substitution therapy is associated with a poor prognosis, and the early start of the treatment is a guarantee of saving the life of a patient with severe hypothyroidism.
About the Authors
E. V. ReznikRussian Federation
Elena V. Reznik
the Department of Propedeutics of Internal disease of the medical faculty
Moscow
V. A. Godilo-Godlevsky
Russian Federation
Moscow
Y. I. Zaynullina
Russian Federation
Moscow
L. M. Mikhaleva
Russian Federation
Moscow
I. V. Smirnova
Russian Federation
Moscow
O. A. Vasyukova
Russian Federation
Moscow
G. N. Golukhov
Russian Federation
Moscow
References
1. Novikov V.I., Novikov K.YU. Interdisciplinary aspects of hypothyroidism syndrome: diagnosis and treatment. Effektivnaya farmakoterapiya. 2014; 46: 50-55. [In Russian]
2. Ushakov A.V. Gipotireoz: iskazhenie sushhnosti. M.: Klinika doktora A.V. Ushakova, 2020; 96 р. [In Russian].
3. Balabolkin M.I. Endocrinology. Moscow, Universum Publishing. 1998; 580 p. [In Russian].
4. Kruchinin E.V., Lebedev I.A., Kozlov M.V. et al. “Typical patient” with hypothyroidism (clinical case). Ural’skij medicinskij zhurnal. 2019; 13 (181): 97-100. DOI: 10.25694/URMJ.2019.13.26 [In Russian]
5. Vernigorodskij V.S., Vlasenko M.V., Palamarchuk A.V. et al. Therapeutic masks for hypothyroidism. International Journal of Endocrinology. 2018; 14 (5):503-507. DOI: 10.22141/2224-0721.14.5.2018.142688 [In Russian]
6. Chaker L., Bianco A.C., Jonklaas J. et al. Hypothyroidism. Lancet. 2017; 390 (10101):1550-1562. DOI: 10.1016/S0140-6736(17)30703-1
7. Dedova I.I., Melnichenko G.A. Hypothyreosis. Clinical Recommendations. Russian Association of Endocrinologists. 2021; 34 p. [In Russian].
8. Biryukova E.V., Shinkin M.V. Hypothyroidism: clinic, diagnosis, approaches to therapy. Therapy. 2017; 7 (17); 110-115. [In Russian].
9. Sviridenko N.Yu. Issues in the treatment of hypothyroidism. RMJ. 2012; 13: 633. [In Russian].
10. Morgunova T.B., Fadeev V.V. Hypothyroidism: modern principles of diagnosis and treatment. Medicinskij sovet. 2016; 3: 79-81. DOI:10.21518/2079-701X-2016-3-79-81. [In Russian].
11. Jonklaas J., Bianco A.C., Bauer A.J. et al. Guidelines for the Treatment of Hypothyroidism: Prepared by the American Thyroid Association Task Force on Thyroid Hormone Replacement. Thyroid. 2014; 24(12): 1670–1751. DOI: 10.1089/thy.2013.0171
12. Petunina N.A., Trukhina L.V. Hypothyroidism. RMJ. 2007; 2: 89. [In Russian].
Review
For citations:
Reznik E.V., Godilo-Godlevsky V.A., Zaynullina Y.I., Mikhaleva L.M., Smirnova I.V., Vasyukova O.A., Golukhov G.N. The Dramatic Outcome of the Late Diagnosis of the Chronic Autoimmune Thyroiditis with the Severe Primary Hypothyroidism. The Russian Archives of Internal Medicine. 2023;13(2):144-154. https://doi.org/10.20514/2226-6704-2023-13-2-144-154