• Corpus ID: 33723589

CHAPTER 128 Thyroid and Adrenal Disorders

  title={CHAPTER 128 Thyroid and Adrenal Disorders},
  author={Adhi N. Sharma and D L Levy},
Thyroid dysfunction (hyperthyroidism and hypothyroidism) arguably represents the most common form of endocrine disorder. Together with adrenal insufficiency, these disease states are often manifested with protean symptoms, such as fatigue and weakness, making them a diagnostic challenge. In their advanced states, classic manifestations develop, rendering each disorder more recognizable. Each disorder is also capable of producing life-threatening symptoms when it is untreated or precipitated by… 

Figures and Tables from this paper


Subclinical thyroid disorders: significance and clinical impact
Arguments for and against lowering the upper limit of TSH are summarised and the causes, effects and outcomes of treatment of both subclinical hypothyroidism and hyperthyroidism are described.
Predisposing factors for adrenal insufficiency.
This review provides a guide to the recognition and treatment of adrenal insufficiency, whether it is primary or secondary to disease, hereditary disorders, medication use, or critical illness.
Uncommon Causes of Thyrotoxicosis*
There are more than 20 less common causes of elevated free thyroid hormones that produce the symptoms and signs of thyrotoxicosis and this review describes these rarer conditions and includes 14 illustrative patients.
Thyroid disease in the emergency department: a clinical and laboratory review.
Recognizing, understanding, and treating postpartum thyroiditis.
  • A. Stagnaro-Green
  • Medicine, Biology
    Endocrinology and metabolism clinics of North America
  • 2000
Adrenal insufficiency: etiology, diagnosis and treatment
  • N. NearyL. Nieman
  • Medicine, Biology
    Current opinion in endocrinology, diabetes, and obesity
  • 2010
Progress has been made in identifying human leukocyte antigen and major histocompatability complex alleles that predispose to the development of adrenal insufficiency in patients with antibodies to 21-hydroxylase, but their role in clinical care is not established.
Clinical review 86: Euthyroid sick syndrome: is it a misnomer?
  • I. Chopra
  • Medicine, Biology
    The Journal of clinical endocrinology and metabolism
  • 1997
There is no evidence of harm by treatment of NTI patients with up to replacement doses of T3, and the term ESS should be replaced with NTIS.
Life-threatening thyrotoxicosis. Thyroid storm.
Thyroid Disorders in Athletes
Clinicians must exercise judgment in regards to thyroid screening and interpretation of value variables such as age and exercise level when implementing hormone replacement, and consideration of serial laboratory values may be considered.
Diagnosis and management of thyroid disease in pregnancy.