Laboratory Testing in Thyroid Conditions - Pitfalls and Clinical Utility.

Calcitonin Free thyroxine Free triiodothyronine Thyroglobulin Thyroglobulin antibodies Thyroid function test Thyroid peroxidase antibodies Thyroid-stimulating hormone Thyroid-stimulating hormone receptor antibodies

Journal

Annals of laboratory medicine
ISSN: 2234-3814
Titre abrégé: Ann Lab Med
Pays: Korea (South)
ID NLM: 101571172

Informations de publication

Date de publication:
Jan 2019
Historique:
received: 21 04 2018
revised: 29 05 2018
accepted: 02 09 2018
entrez: 15 9 2018
pubmed: 15 9 2018
medline: 24 11 2018
Statut: ppublish

Résumé

Thyroid disorders are common, affecting more than 10% of people in the US, and laboratory tests are integral in the management of these conditions. The repertoire of thyroid tests includes blood tests for thyroid-stimulating hormone (TSH), free thyroxine, free triiodothyronine, thyroglobulin (Tg), thyroglobulin antibodies (Tg-Ab), thyroid peroxidase antibodies (TPO-Ab), TSH receptor antibodies (TRAb), and calcitonin. TSH and free thyroid hormone tests are frequently used to assess the functional status of the thyroid. TPO-Ab and TRAb tests are used to diagnose Hashimoto's thyroiditis and Graves' disease, respectively. Tg and calcitonin are important tumor markers used in the management of differentiated thyroid carcinoma and medullary thyroid carcinoma (MTC), respectively. Procalcitonin may replace calcitonin as a biomarker for MTC. Apart from understanding normal thyroid physiology, it is important to be familiar with the possible pitfalls and caveats in the use of these tests so that they can be interpreted properly and accurately. When results are discordant, clinicians and laboratorians should be mindful of possible assay interferences and/or the effects of concurrent medications. In addition, thyroid function may appear abnormal in the absence of actual thyroid dysfunction during pregnancy and in critical illness. Hence, it is important to consider the clinical context when interpreting results. This review aims to describe the above-mentioned blood tests used in the diagnosis and management of thyroid disorders, as well as the pitfalls in their interpretation. With due knowledge and care, clinicians and laboratorians will be able to fully appreciate the clinical utility of these important laboratory tests.

Identifiants

pubmed: 30215224
pii: 39.3
doi: 10.3343/alm.2019.39.1.3
pmc: PMC6143469
doi:

Substances chimiques

Autoantibodies 0
Immunoglobulins, Thyroid-Stimulating 0
anti-thyroglobulin 0
thyrotropin-binding inhibitory immunoglobulin 0
Triiodothyronine 06LU7C9H1V
Thyrotropin 9002-71-5
Calcitonin 9007-12-9
Thyroglobulin 9010-34-8
Thyroxine Q51BO43MG4

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

3-14

Informations de copyright

© The Korean Society for Laboratory Medicine.

Déclaration de conflit d'intérêts

No potential conflicts of interest relevant to this article were reported.

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Auteurs

Shui Boon Soh (SB)

Department of Endocrinology, Changi General Hospital, Singapore.
Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

Tar Choon Aw (TC)

Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Department of Laboratory Medicine, Changi General Hospital, Singapore. tarchoon@gmail.com.

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