Euthyroid sick syndrome: Difference between revisions

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{{SI}}
{{Euthyroid sick syndrome}}
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{{SK}} Euthyroid sick syndrome; sick euthyroid syndrome; non-thyroidal illness syndrome; low T3 low T4 syndrome
{{SK}} sick euthyroid syndrome; non-thyroidal illness syndrome (NTIS); low T3 low T4 syndrome; thyroid allostasis in critical illness, tumours, uraemia and starvation (TACITUS)


{{Infobox_Disease |
'''For patient information, click [[Xyz (patient information)|here]]'''
Name = {{PAGENAME}} |
Image = |
Caption = |
DiseasesDB = |
ICD10 = {{ICD10|E|07|8|e|00}} |
ICD9 = {{ICD9|790.94}} |
ICDO = |
OMIM = |
MedlinePlus = |
MeshID = D005067 |
}}


==Overview==
==[[Euthyroid sick syndrome overview|Overview]]==
'''Euthyroid sick syndrome''' is a [[thyroid hormone]] disorder where the levels of T3 and/or T4 are at unusual levels, but the [[thyroid gland]] does not appear to be dysfunctional.
==Historical Perspective==


==Classification==
==[[Euthyroid sick syndrome historical perspective|Historical Perspective]]==


==Pathophysiology==
==[[Euthyroid sick syndrome classification|Classification]]==


==Causes==
==[[Euthyroid sick syndrome pathophysiology|Pathophysiology]]==


==Differentiating {{PAGENAME}} from Other Diseases==
==[[Euthyroid sick syndrome causes|Causes]]==
[[Fasting]], [[starvation]], [[sepsis]], [[Physical trauma|trauma]], [[cardiopulmonary bypass]], [[malignancy]], [[heart failure]], [[hypothermia]], [[myocardial infarction]], [[chronic renal failure]], [[cirrhosis]], and [[diabetic ketoacidosis]].


==Epidemiology and Demographics==
==[[Differentiating Euthyroid sick syndrome from other diseases|Differentiating Euthyroid sick syndrome  from other Diseases]]==


==Risk Factors==
==[[Euthyroid sick syndrome epidemiology and demographics|Epidemiology and Demographics]]==


==Screening==
==[[Euthyroid sick syndrome risk factors|Risk Factors]]==


==Natural History, Complications, and Prognosis==
==[[Euthyroid sick syndrome screening|Screening]]==
===Natural History===


===Complications===
==[[Euthyroid sick syndrome natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
 
===Prognosis===


==Diagnosis==
==Diagnosis==
===Diagnostic Criteria===
[[Euthyroid sick syndrome history and symptoms|History and Symptoms]] | [[Euthyroid sick syndrome physical examination|Physical Examination]] | [[Euthyroid sick syndrome laboratory findings|Laboratory Findings]] | [[Euthyroid sick syndrome X-ray|X-Ray Findings]] | [[Euthyroid sick syndrome CT scan|CT-Scan Findings]] | [[Euthyroid sick syndrome MRI|MRI Findings]] | [[Euthyroid sick syndrome other diagnostic studies|Other Diagnostic Studies]] | [[Euthyroid sick syndrome other imaging findings|Other Imaging Findings]]
 
===History and Symptoms===
 
===Physical Examination===
 
===Laboratory Findings===
 
===Imaging Findings===
 
===Other Diagnostic Studies===


==Treatment==
==Treatment==
===Medical Therapy===
[[Euthyroid sick syndrome medical therapy|Medical Therapy]] | [[Euthyroid sick syndrome surgery|Surgery]] | [[Euthyroid sick syndrome primary prevention|Primary Prevention]] | [[Euthyroid sick syndrome secondary prevention|Secondary Prevention]] | [[Euthyroid sick syndrome cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Euthyroid sick syndrome future or investigational therapies|Future or Investigational Therapies]]
Ill patients may have normal to low TSH depending on the spectrum of illness. Total T4 and T3 levels may be altered by [[binding protein]] abnormalities, and medications. [[Reverse T3]] are generally increased signifying inhibition of normal Type 1 enzyme or reduced clearance of reverse T3. Measurement of free T4 and/or free T3 levels will be normal.
 
===Surgery===


===Prevention===
==Case Studies==
[[Euthyroid sick syndrome case study one|Case #1]]


==External links==
==External links==

Latest revision as of 20:59, 4 September 2017

Euthyroid sick syndrome Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Euthyroid sick syndrome from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography/Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Euthyroid sick syndrome On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Euthyroid sick syndrome

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Euthyroid sick syndrome

CDC on Euthyroid sick syndrome

Euthyroid sick syndrome in the news

Blogs on Euthyroid sick syndrome

Directions to Hospitals Treating Psoriasis

Risk calculators and risk factors for Euthyroid sick syndrome

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]

Synonyms and keywords: sick euthyroid syndrome; non-thyroidal illness syndrome (NTIS); low T3 low T4 syndrome; thyroid allostasis in critical illness, tumours, uraemia and starvation (TACITUS)

For patient information, click here

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Euthyroid sick syndrome from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | X-Ray Findings | CT-Scan Findings | MRI Findings | Other Diagnostic Studies | Other Imaging Findings

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

External links

  • McIver B, Gorman C (1997). "Euthyroid sick syndrome: an overview". Thyroid. 7 (1): 125–32. PMID 9086580.

References


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