药物性甲状腺功能减退

Apostolos G. Vagenakis, Lewis E. Braverman
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引用次数: 6

摘要

综述了可能引起甲状腺肿和甲状腺功能减退的药物和膳食物质。另一组药物可以改变血清或细胞中甲状腺素和三碘甲状腺原氨酸的结合,但在下丘脑-垂体-甲状腺轴完好的动物和人体内不会引起甲状腺功能减退。鉴于这些治疗药物在临床上的广泛使用,医生必须了解这些药物对甲状腺功能的影响,以避免真正的甲状腺功能减退或对甲状腺功能检查的误解。
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Drug induced hypothyroidism

Drugs and dietary substances which may induce goiter and hypothyroidism are reviewed. Another group of pharmacological agents alter the serum or cellular binding of thyroxine and triiodothyronine but do not induce hypothyroidism in animals and man whose hypothalamic-pituitary-thyroid axis is intact. In view of the widespread clinical use of many of these therapeutic agents, it is essential that the physician be aware of the effects of these drugs on thyroid function in order to avoid true hypothyroidism or misinterpretation of thyroid function tests.

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