- Part 1 Principles of international endocrine practice
- Part 2 Pituitary and hypothalamic diseases
- Part 3 The thyroid
- 3.1 Evaluation of the thyroid patient
- 3.2 Aetiology of thyroid disorders
- 3.3 Thyrotoxicosis and related disorders
- 3.4 Hypothyroidism and pregnancy- and growth-related thyroid disorders
- 3.4.1 Clinical assessment and systemic manifestations of hypothyroidism
- 3.4.2 Causes and laboratory investigation of hypothyroidism
- 3.4.3 Myxoedema coma
- 3.4.4 Subclinical hypothyroidism
- 3.4.5 Thyroid disease during pregnancy
- 3.4.6 Thyroid disease after pregnancy: postpartum thyroiditis
- 3.4.7 Thyroid disease in newborns, infants, and children
- 3.4.8 Thyroid hormone resistance syndrome
- 3.4.9 Treatment of hypothyroidism
- 3.5 Thyroid lumps
- Part 4 Parathyroid, calcium, and bone metabolism
- Part 5 The adrenal gland and endocrine hypertension
- Part 6 Neuroendocrine tumours and genetic disorders
- Part 7 Growth and development during childhood
- Part 8 Female endocrinology and pregnancy
- Part 9 Male hypogonadism and infertility
- Part 10 Endocrinology of ageing and systemic disease
- Part 11 Endocrinology of cancer
- Part 12 Obesity, lipids, and metabolic disorders
- Part 13 Diabetes mellitus
(p. 517) Hypothyroidism and pregnancy- and growth-related thyroid disorders
Hypothyroidism may affect people of both sexes and all ages. The clinical expression of thyroid hormone deficiency varies considerably between individuals. It is influenced mainly by the age of the patient and the rate at which hypothyroidism develops although being largely independent of its cause. Most adult patients complain of a slowing of physical and mental activity.
Hypothyroidism is a graded phenomenon, ranging from very mild cases, in which biochemical abnormalities (subclinical hypothyroidism; see Chapter 3.4.4) are present but the individual hardly notices symptoms and signs of thyroid hormone deficiency, to very severe cases in which the danger exists of sliding down into a life-threatening myxoedema coma.
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- Part 1 Principles of international endocrine practice
- Part 2 Pituitary and hypothalamic diseases
- Part 3 The thyroid
- 3.1 Evaluation of the thyroid patient
- 3.2 Aetiology of thyroid disorders
- 3.3 Thyrotoxicosis and related disorders
- 3.4 Hypothyroidism and pregnancy- and growth-related thyroid disorders
- 3.4.1 Clinical assessment and systemic manifestations of hypothyroidism
- 3.4.2 Causes and laboratory investigation of hypothyroidism
- 3.4.3 Myxoedema coma
- 3.4.4 Subclinical hypothyroidism
- 3.4.5 Thyroid disease during pregnancy
- 3.4.6 Thyroid disease after pregnancy: postpartum thyroiditis
- 3.4.7 Thyroid disease in newborns, infants, and children
- 3.4.8 Thyroid hormone resistance syndrome
- 3.4.9 Treatment of hypothyroidism
- 3.5 Thyroid lumps
- Part 4 Parathyroid, calcium, and bone metabolism
- Part 5 The adrenal gland and endocrine hypertension
- Part 6 Neuroendocrine tumours and genetic disorders
- Part 7 Growth and development during childhood
- Part 8 Female endocrinology and pregnancy
- Part 9 Male hypogonadism and infertility
- Part 10 Endocrinology of ageing and systemic disease
- Part 11 Endocrinology of cancer
- Part 12 Obesity, lipids, and metabolic disorders
- Part 13 Diabetes mellitus