[The general practitioner and abnormal thyroid function screening].
The high frequency of thyroid diseases justifies the measurement of serum TSH in regular checkups. If found normal in non-goitrous patients, this measurement is self-sufficient, but pregnant women should also be screened for antithyroid antibodies because they have an increased risk of post-partum Hashimoto's disease. Abnormal TSH concentrations suggesting hyperthyroidism (TSH < 0,3 mU/l) or hypothyroidism (TSH > 5 mU/l) need free T4 and free T3 complementary determinations, and positive anti-thyroid antibodies may indicate Graves-Basedow's disease in case of hyperthyroidism or Hashimoto's disease in case of hypothyroidism. More recently, measurement of anti-TSH-receptor antibodies had allowed the diagnosis and a follow-up tool in some cases of thyroid diseases.
Vanderpas
J
J
Laboratoire de Biologie Clinique, C.I.U. Ambroise Paré, Mons.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D005194:Family Practice; D005260:Female; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D011247:Pregnancy; D015995:Prevalence; D013959:Thyroid Diseases / Q000097:blood / Q000175:diagnosis*; D013960:Thyroid Function Tests; D013972:Thyrotropin / Q000097:blood; D013974:Thyroxine / Q000097:blood; D014284:Triiodothyronine / Q000097:blood
D014284:Triiodothyronine; D013972:Thyrotropin; D013974:Thyroxine