Maria Brito, MD Co-Director, Mount Sinai’s Thyroid Center Assistant Professor, Medicine, Endocrinology, Diabetes and Bone Disease Icahn School of Medicine at Mount Sinai

22 Nov Seasonal Changes in Thyroid Function Tests

Posted at 16:51h in Author Interviews, Thyroid Disease by

MedicalResearch.com Interview with:

Charit Taneja, MBBS
Internal Medicine Resident

Maria Brito, MD Co-Director, Mount Sinai’s Thyroid Center Assistant Professor, Medicine, Endocrinology, Diabetes and Bone Disease Icahn School of Medicine at Mount Sinai

Dr. Maria Del Pilar Brito

Maria Brito, MD
Co-Director, Mount Sinai’s Thyroid Center
Assistant Professor, Medicine, Endocrinology, Diabetes and Bone Disease
Icahn School of Medicine at Mount Sinai

MedicalResearch.com: What is the background for this study?

Response:  There have been reports of seasonal fluctuations in thyroid function, however there are no standard guidelines for management of such fluctuations and their clinical implications. It is not a well-studied subject and there are insufficient guidelines around its clinical implications. 

MedicalResearch.com: What are the main findings?

Response:  Our patient had winter elevation of TSH and summer normalisation repeatedly over a course of three years, but remained largely asymptomatic despite the biochemical alterations. 

MedicalResearch.com: What should readers take away from your report? 

  • Seasonal changes can occur in TSH, and would become clinically important in the following scenarios: pregnancy, postpartum, and in patients that are symptomatic from thyroid dysfunction.
  • So long as the abnormality is mild, patients with asymptomatic fluctuations in thyroid function don’t necessarily require treatment with levothyroxine, given the cyclical normalization.

MedicalResearch.com: What recommendations do you have for future research as a result of this work?

Response: Ours was a case study from a single patient. We are looking for patients with similar variations to study thyroid function trends and their clinical implications in a larger group. Widespread use of thyroid function testing in asymptomatic individuals could possibly result in greater detection of such cases.

We have no disclosures.

Citation:

SEASONAL TRANSITIONS BETWEEN EUTHYROIDISM AND SUBCLINICAL HYPOTHYROIDISM

[subscribe]

Last Modified: [last-modified] 

The information on MedicalResearch.com is provided for educational purposes only, and is in no way intended to diagnose, cure, or treat any medical or other condition. Always seek the advice of your physician or other qualified health and ask your doctor any questions you may have regarding a medical condition. In addition to all other limitations and disclaimers in this agreement, service provider and its third party providers disclaim any liability or loss in connection with the content provided on this website.

 

Last Updated on November 22, 2019 by Marie Benz MD FAAD

2,846
Tags:
, ,