Interní Med. 2014; 16(6): 232-235

Hyperthyroidism from the perspective of clinician

doc.MUDr.Zdeněk Fryšák, CSc., doc.MUDr.David Karásek, Ph.D., MUDr.Milan Halenka, Ph.D.

III. interní klinika NRE FN a LF Olomouc

Thyroid diseases affect at least 4 times more women than men. The patients represent over 80% of those searching for the outpatient

care. Part of them suffer from some type of chronic inflammatory process, better the autoimmune, chronic thyroiditis, also known as

the lymphocytic thyroiditis, the goiter of Hashimoto. A substantial percentage of the affected patients meet the criteria of the standard

protocol as for the normal function. Scrutinizing laboratory parameters one can record suppressed TSH levels not exceptionally

accompanied by increased levels of free thyroid hormones. Sometimes there might appear a danger of being stuck at an impasse due

to inappropriately simplified differential-diagnostic approach. The possibility of inaccurate classification of the thyroid disease always

exists with the resulting problems. We will try to outline the crucial issues of hyperthyroidism in the following lines with emphasis on

the need for very careful diagnostic assessment. The end product of that process must be the correct and fair treatment plan including

the timing of the final solution.

(anti-hTG), TSH receptor antibodies (anti-rTSH), ulstrasonography (USG).

Keywords: thyrotropin (tsh), free thyroxin (ft4), free triiodothyronine (FT3), thyroperoxidase antibodies (anti-TPO), thyroglobulin antibodies

Published: December 16, 2014  Show citation