THYROID FUNCTION TESTS

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thyroid function tests
HYPOTHYROIDISM


✿ Dysfunctional thyroid gland (primary)
  ✧ autoimmune
    ⁎ hashimoto's thyroiditis
    ⁎ polyglandular autoimmune syndrome
  ✧ iatrogenic
    ⁎ thyroidectomy
    ⁎ radioiodine therapy
    ⁎ radiation
  ✧ nutritional
    ⁎ iodine deficiency
    ⁎ iodine excess
  ✧ drug-induced
    ⁎ thionamides (methimazole, ppu)
    ⁎ lithium
    ⁎ amiodarone
    ⁎ interferon alfa
    ⁎ interleukin-2
    ⁎ tyrosine kinase inhibitors (imatinib)
    ⁎ checkpoint inhibitors (ipilimumab)
    ⁎ cholestyramine
    ⁎ iron
    ⁎ phenytoin
    ⁎ carbamazepine
  ✧ infiltrative
    ⁎ riedel's thyroiditis
    ⁎ sarcoidosis
    ⁎ hemochromatosis
    ⁎ scleroderma
    ⁎ leukemia
    ⁎ cystinosis
    ⁎ amyloidosis
    ⁎ tuberculosis
  ✧ congenital
    ⁎ thyroid gland a/dysgenesis

✿ Dysregulated thyroid gland (central)
  ✧ Tsh deficiency
    ⁎ hypopituitarism
  ✧ Trh deficiency
    ⁎ hypothalamus dysfunction
HYPERTHYROIDISM


✿ Overactive thyroid gland
  ✧ autoimmune
    ⁎ graves' disease
    ⁎ hashitoxicosis
    ⁎ painless (silent or subacute lymphocytic) thyroiditis
    ⁎ postpartum thyroiditis
  ✧ iatrogenic
    ⁎ palpation thyroiditis
    ⁎ radioiodine therapy
    ⁎ radiation
  ✧ tissue hyperplasia
    ⁎ toxic adenoma
    ⁎ toxic multinodular goiter
  ✧ neoplasm
    ⁎ papillary cancer
    ⁎ follicular cancer
    ⁎ anaplastic cancer
  ✧ infection
    ⁎ subacute granulomatous (de quervain's) thyroiditis
  ✧ drug-induced
    ⁎ iv contrast
    ⁎ amiodarone
    ⁎ epoprostenol
    ⁎ levothyroxine
    ⁎ lithium
    ⁎ interferon alfa
    ⁎ tyrosine kinase inhibitors (imatinib)
    ⁎ checkpoint inhibitors (ipilimumab)

✿ Excessive tsh stimulation
  ✧ pituitary adenoma
  ✧ germ cell tumors
  ✧ mutated t3 receptor
  ✧ overactive tsh receptor

✿ Ectopic thyroid production
  ✧ struma ovarii

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