REFRACTORY HYPOTHYROIDISM TO LEVOTHYROXINE TREATMENT: FIVE CASES OF PSEUDOMALABSORPTION

ELBASAN O., YAVUZ D.

ACTA ENDOCRINOLOGICA-BUCHAREST, vol.16, no.3, pp.339-345, 2020 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Editorial Material
  • Volume: 16 Issue: 3
  • Publication Date: 2020
  • Doi Number: 10.4183/aeb.2020.339
  • Journal Name: ACTA ENDOCRINOLOGICA-BUCHAREST
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, EMBASE
  • Page Numbers: pp.339-345
  • Keywords: levothyroxine, pseudomalabsorption, refractory hypothyroidism, FACTITIOUS DISORDER, MALABSORPTION, ABSORPTION, GUIDELINES, DIAGNOSIS, PATIENT
  • Marmara University Affiliated: Yes

Abstract

Context. A persistently elevated thyroid stimulating hormone (TSH) level is a common clinical problem in primary hypothyroidism patients treated with levothyroxine (LT4). "Pseudomalabsorption", which is characterized by poor adherence,should be considered in cases of refractory hypothyroidism after excluding other causes, such as malabsorption.