Baldini, Itala Marina and Cocino, Cristina and Seghezzi, Sonia and Cappellini, Maria Domenica
(2017)
TSH-Suppressive Therapy: A Thorny Issue.
European Journal of Case Reports in Internal Medicine, 4 (2).
ISSN 2284-2594
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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TSH-Suppressive Therapy: A Thorny Issue. (deposited 31 Mar 2017 09:55)
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