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. 2022 Nov 17;66(6):871-882.
doi: 10.20945/2359-3997000000545.

Approach to adult patients with primary hypothyroidism in some special situations: a position statement from the Thyroid Department of the Brazilian Society of Endocrinology and Metabolism (SBEM)

Gláucia Maria Ferreira da Silva Mazeto #  1 , José Augusto Sgarbi #  2 , Helton Estrela Ramos #  3 , Danilo Glauco Pereira Villagelin Neto #  4 , Célia Regina Nogueira #  5 , Mario Vaisman #  6 , Hans Graf #  7 , Gisah Amaral de Carvalho #  7
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Approach to adult patients with primary hypothyroidism in some special situations: a position statement from the Thyroid Department of the Brazilian Society of Endocrinology and Metabolism (SBEM)

Gláucia Maria Ferreira da Silva Mazeto et al. Arch Endocrinol Metab. .

Abstract

Primary hypothyroidism is a common disorder in clinical practice. The management of most cases of hypothyroidism is usually straightforward, but the best approach in some special situations may raise questions among physicians. This position statement was prepared by experts from the Brazilian Society of Endocrinology and Metabolism to guide the management of three special situations, namely, hypothyroidism in the elderly, subclinical hypothyroidism in patients with heart disease, and difficult-to-control hypothyroidism. The authors prepared the present statement after conducting a search on the databases MEDLINE/PubMed, LILACS, and SciELO and selecting articles with the best evidence quality addressing the selected situations. The statement presents information about the current approach to patients in these special situations.

Keywords: Diagnosis; hypothyroidism; treatment.

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Conflict of interest statement

Disclosure: no potential conflict of interest relevant to this article was reported.

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