Refractory Hypothyroidism in an Elderly Woman

Wolf‐Klein, Gisele; Basavaraju, Nerlige G.; Silverstone, Felix A.

doi:10.1111/j.1532-5415.1994.tb06604.x

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2005

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“…Os pacientes idosos podem confundir outros medicamentos com o hormônio tireoidiano, utilizando-os em seu lugar. Torna-se necessário verificar os frascos e rótulos dos medicamentos (13). A outra possibilidade é a acelerada degradação do hormônio tireoidiano.…”

Section: Discussionunclassified

Pseudomalabsorção de levotiroxina: relato de um caso

Pedrosa¹,

Santana²

2005

Arq Bras Endocrinol Metab

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A 49-year-old woman who had been treated with sodium levothyroxine because of hypothyroidism after diagnosis of Hashimoto thyroiditis and total thyroidectomy for multinodular atoxic goiter was evaluated for persistent hypothyroidism despite the use of large doses of levothyroxine (600 microg/day). The patient showed signs and symptoms of hypothyroidism and her laboratory tests were: TSH of 351 microUI/mL, free thyroxine of 0.20 ng/dL, and total triiodothyronine of 27 ng/dL. She was submitted, under medical supervision, to a levothyroxine overload test with no evidence of malabsorption of the thyroid hormone. Diagnosis of factitious disorder and Munchausen syndrome leading to the pseudomalabsorption of levothyroxine was considered.

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Section: Discussionunclassified

Pseudomalabsorção de levotiroxina: relato de um caso

Pedrosa¹,

Santana²

2005

Arq Bras Endocrinol Metab

View full text Add to dashboard Cite

show abstract

Refractory Hypothyroidism in an Elderly Woman

Cited by 1 publication

References 6 publications

Pseudomalabsorção de levotiroxina: relato de um caso

Pseudomalabsorção de levotiroxina: relato de um caso

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