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Der Nuklearmediziner 2016; 39(02): 98-103
DOI: 10.1055/s-0042-106925
Immunologische In-Vitro-Diagnostik
© Georg Thieme Verlag KG Stuttgart · New York

Laborchemisch pathologische Schilddrüsenparameter bei Patienten ohne Schilddrüsenerkrankung

Biochemical Pathological Thyroid Results in Patients without Thyroid Disease
D. Moka
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Publication History

Publication Date:
15 June 2016 (online)

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Zusammenfassung

Medikamente, Umweltfaktoren, Lebensweise und Krankheiten können die Laborwerte der Schilddrüse verändern. Dabei kann laborchemisch scheinbar sowohl eine Hypothyreose als auch eine Hyperthyreose vorliegen. Fehlende Erfahrung/Kenntnis der pathophysiologischen Zusammenhänge können zu therapeutischen Maßnahmen führen, die entweder unnötig oder manchmal sogar schädlich sind. Diese laborchemischen Veränderungen werden nicht durch Erkrankungen der Schilddrüse hervorgerufen, sondern stellen eher einen Schutzmechanismus für den belasteten bzw. kranken Organismus dar. Veränderungen im Schilddrüsenregelkreis sollen hier durch gebremste metabolische Reaktionen mit vermindertem Energie- und Sauerstoffverbrauch den Organismus schonen.

In dieser Übersicht wird ein Überblick über verschiedene Faktoren gegeben, die bei gesunder Schilddrüse, laborchemisch eine Fehlfunktion vortäuschen können.

Abstract

Medication, environmental influences, lifestyle and illness can alter blood values of the thyroid. In this process biochemically a hypothyroidism as well as hyperthyroidism may occur.

Lack of experience or knowledge of the patho-physiological context may lead to treatments, which are either unnecessary or sometimes even harmful.

Subnormal blood sample results may not be caused by a thyroid disease, but rather constitute a protective mechanism for the stressed or ill organism. Alterations in the thyroid regulation axis may be a protective response to slow down metabolic reactions and reduce energy and oxygen consumption.

In this review an overview of various factors, which may fake a biochemical hormonal disorder for patients with healthy thyroid, will be described.

Schlüsselwörter

NTIS - Non-thyroidal illness syndrome - Low-T3-Syndrom - Schilddrüsenfunktion

Key words

NTIS - non-thyroidal illness syndrome - Low-T3 syndrome - thyroid function
 

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