Estudo prospectivo dos valores de T3, T4 e TSH em doentes idosas internadas num serviço de Medicina Interna

Authors

  • Fátima Duarte Interna Complementar de Medicina Interna, Clínica Universitária de Medicina Interna e Gastrenterologia
  • Fernanda Carrilho Interna Complementar de Medicina Interna, Clínica Uni­versitária de Medicina Interna e Gastrenterologia
  • Mário Santos Assistente Eventual de Medicina Interna, Clínica Universi­tária de Medicina Interna e Gastrenterologia
  • Ana Fragoso Assistente Graduada de Patologia Clínica, Laboratório de Patologia Clínica
  • Ana Mouro Chefe de Serviço de Medicina Interna da Clínica Universi­tária de Medicina Interna e Gastrenterologia; Professora convidada da Faculdade de Medicina de Lisboa
  • Mário Pádua Director do Laboratório de Patologia Clinica, Hospital Pulido Valente
  • Mário Quina Director da Clínica Universitária de Medicina Interna e Gastrenterologia, Hospital de Pulido Valente

Keywords:

thyroidfunction, non-thyroid sickness

Abstract

A prospective study was done from 129 old fe­male patients admited to an acute care unit of a university hospital.

Blood samples were taken to assay Triiodothyro­nine (T3), Thyroxine (T4) and Thyroid-Stimula­ting-Hormone by a "sensitive" method (sTSH). A total of 66% of patients had at least one abnormal test result. A total of 43% of patients appea­red to have the "Euthyroid Sick Syndrome". One patient was thyrotoxic and two had hypothyroi­dism.

A total of 10 patients had abnormal TSH levels for inapparent reasons; 4 patients had low TSH values with normal T3 and T4 levels; the others six patients had high TSH values and also high T4 le­vels.

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References

Frey H. The Prevalence of Hypothyroidism in Elderly. Acta Med Scand 1986; 219: 145-146.

Levy G. Thyroid Disease in the Elderly. Med Clinics of N America 1991; 75 (1): 151-167.

NolanJP, Tarsa NJ, Di Benedetto G. Case Finding for Unsuspected Thyroid Disease: cost and benefits. AmJ Clin Pathol 1985; 83: 346-355.

Pierson H, Schmitt HR, Jeandel C, Preiss MA, Mayeux D, Vaillant D, Penin F et Cuny G. Statut Hormonal Thyroidieu du sujet agé. Méd Hyg 1990; 48: 1512-1518.

Rosenthal, MJ et al. Thyroid Failure in the Elderly. JAMA 1987; 258 (2): 209-213.

DeGroot LJ, Mayor G. Admission Screening by Thyroid Function Tests in an Acute General Care Teaching Hospital. Am J of Med 1992; 93: 558-564.

Cavalieri RR. The Effects of Nonthyroid Disease and Drugs on Thyroid Function Tests. Med Clinics of N America 1991; 75 (1): 27-39.

Surks MI et al. American Thyroid Association Guidelines for Use of Laboratory Tests in Thyroid Disorders. JAMA 1990; 263: 1529-1532.

Bayer MF. Effective Laboratory Evaluation of Thyroid Status. Med Clinics of America 1991; 75 (1): 1-26.

Wartofsky L. Diseases of Thyroid. ln Harrison's: Principies of ln­ternal Medicine 13th ed. 1994: 1931-1953.

Adnaqui M et al. Signification Diagnostique d' une HormonemThyréotrope Abaissé en Médicine Interne. Rev Med Interne 1990; II: 37-41.

Additional Files

Published

1994-09-30

How to Cite

1.
Duarte F, Carrilho F, Santos M, Fragoso A, Mouro A, Pádua M, Quina M. Estudo prospectivo dos valores de T3, T4 e TSH em doentes idosas internadas num serviço de Medicina Interna. RPMI [Internet]. 1994 Sep. 30 [cited 2024 May 15];1(3):152-7. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/2464

Issue

Vol. 1 No. 3 (1994): Julho/ Setembro

Section

Original Articles

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Copyright (c) 1994 Internal Medicine

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