HYPOTHYROIDISM: COMMON MISTAKES IN THE PRACTICE OF INTERNIST


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Hypothyroidism, despite the high prevalence, easy diagnosis, a well-known and simple algorithm for the treatment, is accompanied by a high percentage of decompensated patients that can be associated with a wide variety of causes. According to various authors, both foreign and Russian, their share is 20-40%. The reasons for considering the low compliance of patients, their psychological state (in particular, depression), change of the brand of levothyroxine, accompanying chronic diseases (e.g., atrophic gastritis and celiac disease) and inadequate recommendations. Various measures to overcome these reasons are offered including the establishment of registers of patients with active mandatory supervision, the accounting quantity of the accepted pills, consult a psychologist for the correction of psycho-emotional disorders, assessment of bioavailability of levothyroxine after the change of the brand. This article describes the main mistakes therapists and endocrinologists committed in the diagnosis and treatment of hypothyroidism.

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作者简介

Valentin Fadeev

I.M. Sechenov First Moscow State Medical University

Email: walfad@mail.ru
MD, Professor, Head of the Department of Endocrinology 119121, Moscow, 1, bld 1/2. Pogodinskaya St

Yuliya Manuilova

I.M. Sechenov First Moscow State Medical University

PhD, endocrinologist, Department of Endocrinology 119121, Moscow, 1, bld 1/2. Pogodinskaya St

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