Primary hypothyroidism resolves after switching from L-thyroxine solid tablets to liquid oral substitution. A rare case without evidence of an underlying gastrointestinal malabsorption syndrome.

L‐thyroxine levothyroxine malabsorption thyroid hormones

Journal

Clinical case reports
ISSN: 2050-0904
Titre abrégé: Clin Case Rep
Pays: England
ID NLM: 101620385

Informations de publication

Date de publication:
Aug 2022
Historique:
received: 10 02 2022
accepted: 27 07 2022
entrez: 22 8 2022
pubmed: 23 8 2022
medline: 23 8 2022
Statut: epublish

Résumé

A case of refractory primary hypothyroidism is presented. Despite laboratory-guided hormonal substitution, the patient remained hypothyroid. Multiple diagnostic tests ruled out all known causes of levothyroxine malabsorption. Interestingly, clinical and laboratory responding was promptly achieved, after switching the application format from solid tablets to liquid formula.

Identifiants

pubmed: 35990384
doi: 10.1002/ccr3.6223
pii: CCR36223
pmc: PMC9376134
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e6223

Informations de copyright

© 2022 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.

Déclaration de conflit d'intérêts

The authors have disclosed that they have no significant relationship with, or financial interest in, any commercial companies pertaining to this article.

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Auteurs

Sophie Stupperich (S)

Department of Gastroenterology, Endocrinology Diabetology and General Medicine Kassel Germany.
Department of Obstetrics and Gynecology Elisabeth Hospital Essen Essen Germany.

Jessica Kotliarevskaia (J)

Department of Gastroenterology, Endocrinology Diabetology and General Medicine Kassel Germany.

Reinhold Nies (R)

General Practitioner's Private Practice Hofgeismar Germany.

Maria Paparoupa (M)

Department of Intensive Care Medicine University Medical Center Hamburg-Eppendorf Hamburg Germany.

Andreas Wittig (A)

Department of Gastroenterology, Endocrinology Diabetology and General Medicine Kassel Germany.

Frank Schuppert (F)

Department of Gastroenterology, Endocrinology Diabetology and General Medicine Kassel Germany.

Classifications MeSH