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HIPOTIROIDISMO PRIMARIO

#PerlasENARM

Abro hilo Image
La causa más frecuente: Tiroiditis de hashimoto.
Anticuerpos asociados: Anti TPO.

Otras causas:
•Resección quirúrgica 🔪
•Deficiencia de I133🧂
•Ablacion por Iodo🔥
•Por medicamentos: Amiodarona: Wolff Chaikoff 💊
•Tiroiditis subagudas 🥴
•Aplasia/Hipoplasia 👶🏻
Regulación de tiroides:

Hipotalamo ▶️ TRH
Hipofisis ▶️ TSH
Tiroides ▶️ T3 y T4

T3: Triyodotiroinina.
T4: Tiroxina

TSH = 0.3 a 4.5
T4 libre = 0.6 a 1.8

Recuerden: La fracción libre es la activa.
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