"IATROGENIC SUBCLINICAL HYPERTHYROIDISM - THE IMPORTANCE OF LONGITUDINAL CARE"

Background & Aim Subclinical hyperthyroidism is defined by low or undetectable serum thyroid-stimulating hormone levels, with normal free thyroxine and total or free triiodothyronine levels. It can be caused by increased endogenous production of thyroid hormone, administration of thyroid hormone for treatment of malignant thyroid disease, or unintentional excessive thyroid hormone therapy. The rate of progression to overt hyperthyroidism is higher in persons who have suppressed thyroid-stimulating hormone levels compared with those who have low but detectable levels. The main aim of this presentation is to show how important it is the role of family physician in the continuous and longitudinal care of patients. show the importance of regular evaluation, particularly those with chronic illness. Method Report case. Results & Conclusions A 53 y-old woman, with a history of hemi-thyroidectomy right by a follicular tumor, 10 years ago. She was monitored by private medicine until 5 years ago, ande since then she has never been seen observed. The first time we observed her was in March 2015. She had irritability, tremor, excessive sweating, diarrhea and weight loss. It was because of these symptoms that she came to us. On physical examination the patient was well, with hemodynamic stability and without any other changes. we requested laboratory tests with thyroid stimulating hormon (TSH); tyroide hormone Furthermore, it is important to look for abnormalities, particularly, in that patients who are taking any chronic medication.