TSH-Suppressive Therapy: A Thorny Issue
  • Itala Marina Baldini
    UOC Medicina Interna, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milano
  • Cristina Cocino
    UOC Medicina Interna, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milano
  • Sonia Seghezzi
    ICH Humanitas, EAS Pronto Soccorso, Rozzano (MI)
  • Maria Domenica Cappellini
    UOC Medicina Interna, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milano

Keywords

thyroid carcinoma, TSH-suppressive therapy, intestinal malabsorption

Abstract

Thyroid stimulating hormone (TSH)-suppressive therapy with levothyroxine is a cornerstone of thyroid carcinoma follow-up therapy, but the achievement of therapeutic goals must be balanced against L-T4 side effects. We describe the case of a 64-year-old cardiopathic patient with papillary thyroid carcinoma and autoimmune thyroiditis, whose cardiac condition worsened during TSH-suppressive therapy. TSH concentrations also fluctuated widely because of changing intestinal absorption due to coeliac disease.

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    Published: 2017-03-27
    Issue: Vol. 4 No. 2 (view)


    How to cite:
    1.
    Baldini IM, Cocino C, Seghezzi S, Cappellini MD. TSH-Suppressive Therapy: A Thorny Issue. EJCRIM 2017;4 doi:10.12890/2016_000547.

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