4.4 Review

Update on a new controversy in endocrinology: isolated maternal hypothyroxinemia

Journal

JOURNAL OF ENDOCRINOLOGICAL INVESTIGATION
Volume 38, Issue 2, Pages 117-123

Publisher

SPRINGER
DOI: 10.1007/s40618-014-0203-5

Keywords

Hypothyroxinemia; FreeT4 assays; Perinatal outcome; Neurodevelopmental delay

Ask authors/readers for more resources

Isolated hypothyroxinemia (IH) is defined as a thyroxine level in the lower 5th (severe III) or 10th percentile (mild III) of the pregnancy-related reference range and a normal TSH. The etiology of IH remains unknown. This review aims to evaluate the biochemical criteria used to define IH in different published studies and to discuss potential maternal as well as fetal outcomes and whether treatment during early pregnancy can prevent the eventual adverse effects. For the current literature a better standardization of free thyroxine assays is needed, as well as the use of appropriated trimester-specific reference intervals for thyroid function tests. Today no study demonstrates a benefit from treating early pregnant IH women on perinatal and fetal outcomes.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.4
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Endocrinology & Metabolism

HYPOTHYROXINAEMIA AND BRAIN DEVELOPMENT

J. H. Lazarus, P. N. Taylor

ACTA ENDOCRINOLOGICA-BUCHAREST (2016)

Article Nutrition & Dietetics

Consequences of iodine deficiency and excess in pregnant women: an overview of current knowns and unknowns

Elizabeth N. Pearce, John H. Lazarus, Rodrigo Moreno-Reyes, Michael B. Zimmermann

AMERICAN JOURNAL OF CLINICAL NUTRITION (2016)

Review Pharmacology & Pharmacy

Current trends in antithyroid drug treatment of Graves' disease

Onyebuchi E. Okosieme, John H. Lazarus

EXPERT OPINION ON PHARMACOTHERAPY (2016)

Review Pharmacology & Pharmacy

Current challenges in the pharmacological management of thyroid dysfunction in pregnancy

I. Khan, O. E. Okosieme, J. H. Lazarus

EXPERT REVIEW OF CLINICAL PHARMACOLOGY (2017)

Article Endocrinology & Metabolism

Maturation in Serum Thyroid Function Parameters Over Childhood and Puberty: Results of a Longitudinal Study

Peter N. Taylor, Adrian Sayers, Onyebuchi Okosieme, Gautam Das, Mohd S. Draman, Arshiya Tabasum, Hussam Abusahmin, Mohammad Rahman, Kirsty Stevenson, Alix Groom, Kate Northstone, Wolf Woltersdorf, Andrew Taylor, Susan Ring, John H. Lazarus, John W. Gregory, Aled Rees, Nicholas Timpson, Colin M. Dayan

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM (2017)

Article Genetics & Heredity

Graves' orbitopathy as a rare disease in Europe: a European Group on Graves' Orbitopathy (EUGOGO) position statement

P. Perros, L. Hegedus, L. Bartalena, C. Marcocci, G. J. Kahaly, L. Baldeschi, M. Salvi, J. H. Lazarus, A. Eckstein, S. Pitz, K. Boboridis, P. Anagnostis, G. Ayvaz, A. Boschi, T. H. Brix, N. Curro, O. Konuk, M. Marino, A. L. Mitchell, B. Stankovic, F. B. Toruner, G. von Arx, M. Zarkovic, W. M. Wiersinga

ORPHANET JOURNAL OF RARE DISEASES (2017)

Letter Endocrinology & Metabolism

Iodine in Malt Whisky: A Preliminary Analysis

John H. Lazarus, Peter P. A. Smyth, Peter N. Taylor, Sandra Weibel, Michael B. Zimmermann

THYROID (2017)

Article Endocrinology & Metabolism

2017 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum

Erik K. Alexander, Elizabeth N. Pearce, Gregory A. Brent, Rosalind S. Brown, Herbert Chen, Chrysoula Dosiou, William A. Grobman, Peter Laurberg, John H. Lazarus, Susan J. Mandel, Robin P. Peeters, Scott Sullivan

THYROID (2017)

Article Endocrinology & Metabolism

Controlled Antenatal Thyroid Screening II: Effect of Treating Maternal Suboptimal Thyroid Function on Child Cognition

Charlotte Hales, Peter N. Taylor, Sue Channon, Ruth Paradice, Kirsten McEwan, Lei Zhang, Michael Gyedu, Ameen Bakhsh, Onyebuchi Okosieme, Ilaria Muller, Mohd S. Draman, John W. Gregory, Colin Dayan, John H. Lazarus, D. Aled Rees, Marian Ludgate

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM (2018)

Review Endocrinology & Metabolism

Global epidemiology of hyperthyroidism and hypothyroidism

Peter N. Taylor, Diana Albrecht, Anna Scholz, Gala Gutierrez-Buey, John H. Lazarus, Colin M. Dayan, Onyebuchi E. Okosieme

NATURE REVIEWS ENDOCRINOLOGY (2018)

Article Endocrinology & Metabolism

The Krakow Declaration on Iodine: Tasks and Responsibilities for Prevention Programs Targeting Iodine Deficiency Disorders

Henry Voelzke, Iris Erlund, Iris Gruenert, Alicja Hubalewska-Dydejczyk, John H. Lazarus, Robin P. Peeters, Margaret P. Rayman, Uwe Siebert, Betina H. Thuesen, Michael B. Zimmermann

EUROPEAN THYROID JOURNAL (2018)

Review Endocrinology & Metabolism

Antithyroid drug therapy in pregnancy: a review of guideline recommendations

Ishrat Khan, Onyebuchi Okosieme, John Lazarus

EXPERT REVIEW OF ENDOCRINOLOGY & METABOLISM (2017)

Article Ophthalmology

Management of thyroid eye disease in the United Kingdom: A multi-centre thyroid eye disease audit

F. E. Mellington, C. M. Dayan, A. J. Dickinson, J. L. Hickey, C. J. MacEwen, J. McLaren, P. Perros, G. E. Rose, J. Uddin, B. Vaidya, P. Foley, J. H. Lazarus, A. Mitchell, D. G. Ezra

ORBIT-THE INTERNATIONAL JOURNAL ON ORBITAL DISORDERS-OCULOPLASTIC AND LACRIMAL SURGERY (2017)

Article Endocrinology & Metabolism

First trimester isolated maternal hypothyroxinaemia: adverse maternal metabolic profile and impact on the obstetrical outcome

Raluca M. Furnica, Damien Gruson, John H. Lazarus, Dominique Maiter, Pierre Bernard, Chantal Daumerie

CLINICAL ENDOCRINOLOGY (2017)

Review Endocrinology & Metabolism

How Do We Improve the Impact of Iodine Deficiency Disorders Prevention in Europe and Beyond?

Henry Voelzke, Iris Erlund, Alicja Hubalewska-Dydejczyk, Till Ittermann, Robin P. Peeters, Margaret Rayman, Monika Buchberger, Uwe Siebert, Betina H. Thuesen, Michael B. Zimmermann, Stefan Gruenert, John H. Lazarus

EUROPEAN THYROID JOURNAL (2018)

No Data Available