Thyroid testing in primary hypothyroidism
African Journal of Primary Health Care & Family Medicine
| Field | Value | |
| Title | Thyroid testing in primary hypothyroidism | |
| Creator | Ambasta, Anshula Grenet, Guillaume Otte, Jessica Thompson, Wade Bassett, Kenneth Perry, Thomas | |
| Description | Thyroid hormones regulate essential metabolic processes and development. The hypothalamic–pituitary–thyroid axis regulates hormone production, with thyroid-stimulating hormone (TSH) levels being a key indicator of thyroid function in primary hypothyroidism. This therapeutics letter emphasises a TSH-centred approach to the diagnosis and management of primary hypothyroidism (dysfunction at the level of the thyroid gland) in adults. It discourages routine thyroid function screening in asymptomatic individuals due to a lack of demonstrated benefit and potential harm from overdiagnosis and overtreatment. It outlines appropriate diagnostic strategies, including when to use TSH, free T4 (thyroxine), and free T3 (triiodothyronine) tests, and outlines indications for antibody testing. Special considerations are provided for subclinical hypothyroidism and hypothyroidism during pregnancy. | |
| Publisher | AOSIS | |
| Date | 2025-06-30 | |
| Identifier | 10.4102/phcfm.v17i1.5043 | |
| Source | African Journal of Primary Health Care & Family Medicine; Vol 17, No 1 (2025); 4 pages 2071-2936 2071-2928 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://phcfm.org/index.php/phcfm/article/view/5043/8374
https://phcfm.org/index.php/phcfm/article/view/5043/8375
https://phcfm.org/index.php/phcfm/article/view/5043/8376
https://phcfm.org/index.php/phcfm/article/view/5043/8377
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