Терапевтичні Маски Гіпотиреозу

Vernigorodsky, V.S.; Vlasenkо, М.V.; Palamarchuk, A.V.; Nezhinskay-Astapenko, Z.P.; Литвинова, С. А.; Vilchinskaya, N.V.; Shkarivska, S.V.

doi:10.22141/2224-0721.14.5.2018.142688

Mìžnarodnij endokrinologìčnij žurnal

2021

DOI: 10.22141/2224-0721.14.5.2018.142688

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Терапевтичні Маски Гіпотиреозу

V.S. Vernigorodsky¹,

М.V. Vlasenkо²,

A.V. Palamarchuk³

et al.

Abstract: У статті наведені дані про різні клінічні варіанти перебігу гіпотиреозу. Автори акцентували увагу на те, що в інтересах ранньої та вірогідної діагностики не слід обмежуватися уявленнями про типову клінічну картину гіпотиреозу, описану в підручниках, оскільки гіпофункція щитоподібної залози все частіше проявляється атиповими, субклінічними формами. Особливо це стосується гіпотиреозу у літніх людей, який трапляється значно частіше, ніж у осіб молодого віку, і його прояви нерідко вислизають серед симптомів інших… Show more

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Hydropericardium in hypothyroidism. Features of the clinic, diagnosis and treatment

Bondar,

Chesnochenko,

Krasnopevtseva

2024

Clin Exp Thyroid

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Thyroid hormone deficiency negatively affects the state of the cardiovascular system, causing the formation of a «myxedematous heart». The frequency and clinical features of primary hypothyroidism in 84 patients discharged from the endocrinology department of the RCH in 2017-2022 were retrospectively analyzed. Pericardial effusion was registered in 9 people (10.7%). Massive effusion with separation of pericardial leaflets from 30 to 50 mm and the threat of tamponade was in 4 out of 9 patients. Even with a large volume of pericardial effusion, classic symptoms such as shortness of breath, orthopnea, chest pain, and a feeling of fullness were absent or poorly expressed. Differential diagnosis with diseases accompanied by accumulation of fluid in the pericardial cavity was required. Indicators of thyroid status made it possible to associate the hydropericardium with decompensation or hypothyroidism for the first time. Thyroid hormone replacement therapy led to the disappearance of hypothyroidism symptoms and a decrease in the hydropericardium. With a high risk of tamponade in 3 patients, therapy was supplemented with pericardiocentesis. A clinical observation of successful treatment with thyroid hormones in combination with pericardiocentesis of severe newly diagnosed hypothyroidism against the background of autoimmune thyroiditis with massive pericardial effusion is presented.

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Hydropericardium in hypothyroidism. Features of the clinic, diagnosis and treatment

Bondar,

Chesnochenko,

Krasnopevtseva

2024

Clin Exp Thyroid

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Role of microelements in the development of endocrine pathology

Sharipova

Ivkina

Архангельская

et al. 2022

Ekologiya cheloveka (Human Ecology)

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Due to the progressive increase in the incidence of endocrine pathology in the world, the issues of prevention and treatment of this group of diseases become topical. Diseases of the endocrine system are often accompanied by the development of comorbidities and complications, which negatively affects the quality of life and survival of patients. Currently, the features of the trace element status in patients with various diseases are actively studied. Numerous modern studies are devoted to the question of the influence of the balance of trace elements on the etiology and pathogenesis of diabetes mellitus, obesity and some thyroid diseases, including autoimmune ones. The role of iodine, selenium, iron, zinc and copper in the development and progression of these diseases has been established, but the results of these studies are sometimes contradictory. This review presents the data obtained by national and foreign researchers on the role of trace elements in the development of endocrine pathology, gives a brief description of the most significant mineral substances, as well as the effect of their imbalance on the structure and function of the organs of the endocrine system. The need for further study of this issue is discussed, taking into account concomitant diseases, as well as the mutual influences of mineral substances on each other, which can lead to a change in the concentration of trace elements in the body.

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The Dramatic Outcome of the Late Diagnosis of the Chronic Autoimmune Thyroiditis with the Severe Primary Hypothyroidism

Reznik

Godilo-Godlevsky

Zaynullina

et al. 2023

Arhivʺ vnutrennej mediciny

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The article is devoted to the analysis of a clinical case of the severe hypothyroidism. A review of the “clinical masks” of the hypothyroidism is presented. The examination of the polymorbid patients should include the level of thyroid-stimulating hormone and thyroid hormones. The untimely initiation of substitution therapy is associated with a poor prognosis, and the early start of the treatment is a guarantee of saving the life of a patient with severe hypothyroidism.

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Терапевтичні Маски Гіпотиреозу

Cited by 5 publications

References 4 publications

Hydropericardium in hypothyroidism. Features of the clinic, diagnosis and treatment

Hydropericardium in hypothyroidism. Features of the clinic, diagnosis and treatment

Role of microelements in the development of endocrine pathology

The Dramatic Outcome of the Late Diagnosis of the Chronic Autoimmune Thyroiditis with the Severe Primary Hypothyroidism

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