2010, Number 2
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Acta Med 2010; 8 (2)
Thyroid disease is more common in women
Zárate A, Hernández A, Basurto L, Saucedo R
Language: Spanish
References: 10
Page: 84-87
PDF size: 159.08 Kb.
ABSTRACT
Thyroid disease is more common in women that men due to their particular susceptibility to develop autoimmune response and this association is related with women’s physiological changes during life. Puberty, menstrual cycle, pregnancy and menopause are determinant for the development of autoimmunity which may provoke hypothyroidism, hyperthyroidism and thyroiditis. At the present, technical advances in thyroid tests as well as the development of images procedures, particularly TSH assays and sonography. It remains some controversy related with the best medication for either hypo or hyperthyroidism; other discussions are the utility of universal TSH test during pregnancy, availability of preclinical diagnosis of hypo and hyperthyroidism, and the use of thyroid peroxidase antibody for detection of thyroid disease in susceptible women due to family history. Needle biopsy has been an important advancement for the diagnosis of thyroid cancer.
REFERENCES
Tanda ML, Piantanida E, Lai A, Lombardi V, Dalle Mule I, Liparulo L, Pariani N, Bartalena L. Thyroid autoimmunity and environment. Horm Metab Res 2009; 41: 436-42.
Cervera R, Balasch J. Bidirectional effects on autoimmunity and reproduction. Hum Reprod Update 2008; 14: 359-66.
Ghassi D, Donato A. Evaluation of the thyroid nodule. Postgrad Med J 2009; 85: 190-95.
Surks MI, Ortiz E, Daniels GH, Sawin CT et al. Subclinical thyroid disease: scientific review and guidelines for diagnosis and management. JAMA 2004; 291: 228-38.
Brent GA. Clinical practice. Graves’ disease. N Engl J Med 2008; 358: 2594-605.
Kharlip J, Cooper DS. Recent developments in hyperthyroidism. Lancet 2009; 373: 1930-32.
Zárate A, Basurto L, Saucedo R, Hernández M. Enfermedad tiroidea: un tema de revisión constante por el ginecólogo, por su frecuencia en las mujeres. Ginecol Obstet Mex 2009; 77: 96-102.
Mayo Clinic and the Thyroid Cancer Guidelines from the American Thyroid Association. Mayo Clinic 2008; 3: 1-3.
Landenson PW, Singer PA, Ain KB, Bagchi N, Bigos ST, Levy EG. American Association Guidelines for detection of thyroid dysfunction. Arch Intern Med 2000; 160: 1573-85.
Poppe K, Velkeniers B, Glinoer D. Thyroid disease and female reproduction. Clin Endocrinol 2007; 66: 309-21.