Latent Hypothyroidism

Latent Hypothyroidism: Medical History

Medical history (history of illness) represents an important component in the diagnosis of latent (subclinical) hypothyroidism (hypothyroidism). Family history Is there a frequent history of thyroid disease in your family? Are there any hereditary diseases in your family? Social anamnesis Current medical history/systemic medical history (somatic and psychological complaints). What symptoms have you noticed? Depressive … Latent Hypothyroidism: Medical History

Latent Hypothyroidism: Or something else? Differential Diagnosis

Endocrine, nutritional, and metabolic diseases (E00-E90). Struma multinodosa – nodular change in thyroid tissue. Cardiovascular system (I00-I99) Heart failure (cardiac insufficiency) Neoplasms – tumor diseases (C00-D48) Thyroid carcinoma – malignant neoplasm of the thyroid gland. Medication Chronic iodine excess mainly triggered by drugs (especially amiodarone – drug for cardiac arrhythmias).

Latent Hypothyroidism: Complications

The following are the major conditions or complications that may be contributed to by latent (subclinical) hypothyroidism (hypothyroidism): Certain conditions originating in the perinatal period (P00-P96). Neurologic damage in the fetus Endocrine, nutritional, and metabolic diseases (E00-E99). Diabetes mellitus type 2 Increase of the homocysteine level Hypercholesterolemia (increased levels of cholesterol in the blood; LDL … Latent Hypothyroidism: Complications

Latent Hypothyroidism: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye). Inspection and palpation (palpation) of the thyroid gland and lymph nodes [due todifferential diagnosis: struma multinodosa – nodular change … Latent Hypothyroidism: Examination

Latent Hypothyroidism: Test and Diagnosis

1st-order laboratory parameters-obligatory laboratory tests. TSH (thyroid-stimulating hormone)* [TSH level > 4 mU/l → repeat measurement for confirmation]. FT4 (thyroxine) [within normal range] * Latent hypothyroidism: TSH value > 4 mU/l + fT4 in the normal range. Note: In latent hypothyroidism, thyroid levels are determined again after 4-8 weeks. 2nd order laboratory parameters – depending … Latent Hypothyroidism: Test and Diagnosis

Latent Hypothyroidism: Drug Therapy

Therapeutic targets Euthyroid metabolic state with freedom from symptoms (depending on the patient’s age). Important note!The transition from latent to manifest hypothyroidism depends mainly on the presence of autoantibodies against thyroid peroxidase (TPO-Ak) and the level of the antibody titer: the higher the antibody titer, the greater the probability of transition to manifest hypothyroidism (2.6%/year … Latent Hypothyroidism: Drug Therapy

Latent Hypothyroidism: Diagnostic Tests

The diagnosis of latent (subclinical) hypothyroidism (hypothyroidism) is made primarily by clinical presentation and laboratory testing. Optional medical device diagnostics-depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics-are used for differential diagnosis. Thyroid ultrasonography (ultrasound examination of the thyroid gland) – to visualize the size of the thyroid … Latent Hypothyroidism: Diagnostic Tests

Latent Hypothyroidism: Micronutrient Therapy

A deficiency symptom may indicate that there is an inadequate supply of vital nutrients. The complaint latent (subclinical) hypothyroidism indicates a vital nutrient deficiency for: Iodine The above vital substance recommendations were created with the help of medical experts. All statements are supported by scientific studies with high levels of evidence. For a therapy recommendation, … Latent Hypothyroidism: Micronutrient Therapy

Latent Hypothyroidism: Symptoms, Complaints, Signs

In latent (subclinical) hypothyroidism (hypothyroidism), symptoms occur in only about 25% of cases.In 75%, the disease is asymptomatic, that is, without symptoms. However, the following symptoms and complaints may indicate latent (subclinical) hypothyroidism: Depression Memory impairment (deteriorated working memory). Hoarseness [Note: differential diagnoses: bronchial carcinoma (lung cancer), laryngeal carcinoma (cancer of the larynx), thyroid carcinoma] … Latent Hypothyroidism: Symptoms, Complaints, Signs

Latent Hypothyroidism: Causes

Pathogenesis (development of disease) In latent (subclinical) hypothyroidism, there is mild dysfunction of the thyroid gland. The thyroid hormones fT3 and fT4 are present in the blood at normal concentrations, whereas TSH (thyroid-stimulating hormone) is > 4 mU/l. The most common cause of latent hypothyroidism is autoimmune thyroiditis (see below). Etiology (Causes) Biographic causes Genetic … Latent Hypothyroidism: Causes

Latent Hypothyroidism: Therapy

General measures Review of permanent medication due topossible effect on existing disease. Regular check-ups Regular medical checkups Nutritional medicine Nutritional counseling based on nutritional analysis Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things: A total of 5 servings of fresh vegetables and fruit daily … Latent Hypothyroidism: Therapy