open access
Macro-TSH — tips and tricks for gynecologists
- Department of Endocrinological Gynecology, Medical University of Silesia, Poland, Poland
- Department of Endocrinolgy, Medical Center in Piekary Slaskie, Poland, Poland
open access
Abstract
Thyroid disorders are one of the most common endocrinopathies in women of reproductive age.
Measurement of TSH (thyroid-stimulating hormone) concentration in women planning pregnancy/pregnant is a golden standard of thyroid function assessment. When the laboratory findings do not correspond with the clinical signs, it is reasonable to mark macro-TSH.
Abstract
Thyroid disorders are one of the most common endocrinopathies in women of reproductive age.
Measurement of TSH (thyroid-stimulating hormone) concentration in women planning pregnancy/pregnant is a golden standard of thyroid function assessment. When the laboratory findings do not correspond with the clinical signs, it is reasonable to mark macro-TSH.
Keywords
macro-TSH; pregnancy; thyroid dysfunction
Title
Macro-TSH — tips and tricks for gynecologists
Journal
Issue
Article type
Clinical vignette
Pages
601-602
Published online
2022-03-22
Page views
4352
Article views/downloads
712
DOI
Pubmed
Bibliographic record
Ginekol Pol 2022;93(7):601-602.
Keywords
macro-TSH
pregnancy
thyroid dysfunction
Authors
Dagmara Pluta
Agnieszka Bedkowska-Szczepanska
Pawel Madej
Barbara Zubelewicz-Szkodzinska
- Inoue K, Ritz B, Brent GA, et al. Association of Subclinical Hypothyroidism and Cardiovascular Disease With Mortality. JAMA Netw Open. 2020; 3(2): e1920745.
- Hubalewska-Dydejczyk A, Trofimiuk-Müldner M, Ruchala M, et al. Thyroid diseases in pregnancy: guidelines of the Polish Society of Endocrinology [Choroby tarczycy w ciąży: zalecenia postępowania Polskiego Towarzystwa Endokrynologicznego]. Endokrynologia Polska. 2021; 72(5): 425–488.
- Korevaar TIM. Evidence-Based tightrope walking: the 2017 guidelines of the american thyroid association for the diagnosis and management of thyroid disease during pregnancy and the postpartum. Thyroid. 2017; 27(3): 309–311.
- Larsen CB, Petersen E, Overgaard M, et al. Macro-TSH: A Diagnostic Challenge. European Thyroid Journal. 2020; 10(1): 1–5.
- Mills F, Jeffery J, Mackenzie P, et al. An immunoglobulin G complexed form of thyroid-stimulating hormone (macro thyroid-stimulating hormone) is a cause of elevated serum thyroid-stimulating hormone concentration. Ann Clin Biochem. 2013; 50(Pt 5): 416–420.