Medical Advisor Journals

Wednesday, July 12, 2017

Thyroid hormone: Treating elevated thyroid stimulating hormone levels in obese children and adolescents?

Kyle J. Norton(Scholar and Master of Nutrients, all right reserved)
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

Thyroid hormone

Thyroid hormone (triiodothyronine (T3) and thyroxine (T4)), produced by the thyroid gland, plays an important role in regulation of metabolism, including directly boosts energy metabolism and triggers rapid protein synthesis and regulates mitochondrial gene transcription, etc. Iodine is necessary for the production of T3and T4, deficiency of Iodine can lead to enlarge thyroid grand and goitre.

Thyroid hormone: Treating elevated thyroid stimulating hormone levels in obese children and adolescents?

In the differentiation to examine the prevalence of abnormal thyroid function tests among obese children and adolescents, and to study the effect of thyroid hormone supplementation on body weight, linear growth and lipid profiles in these children, showed that hyperthyrotropinemia is relatively common in obese children, but autoimmune thyroid disease accounts for a minority of the cases. TSH levels returned to normal in the majority of patients even without thyroid hormone administration. No beneficial effects on body weight, body mass index, linear growth and body lipids were found in treated subjects, suggesting that thyroidsubstitution is not necessary in most cases(65).

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Sources
(65) http://www.ncbi.nlm.nih.gov/pubmed/17907328

Tuesday, July 11, 2017

Thyroid hormone: Thyroid function in the nutritionally obese child and adolescent

Thyroid hormone: Thyroid function in the nutritionally obese child and adolescent

In the study to evaluate the prevalence of disturbed thyroid hormone and TSH values in childhood obesity and the underlying pathophysiologic mechanisms linking obesity to thyroid function.l, showed that in the past 18 months, four studies demonstrated moderate elevation of TSH concentrations in 10-23% of obese children, which was associated with normal or slightly elevated thyroxine and triiodothyronine values. Two studies reported ultrasonographic hypoechogenicity of the thyroid in obese children with hyperthyrotropinemia, which was not caused by autoimmune thyroiditis; therefore, the authors hypothesized a link to chronic inflammation in obesity. Weight loss led to a normalization of elevated TSH levels in two studies. The adipokine leptin is the most promising link between obesity and hyperthyrotropinemia since leptin stimulates the hypothalamic-pituitary-thyroid(64).

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Sources
(64) http://www.ncbi.nlm.nih.gov/pubmed/21430532

Monday, July 10, 2017

Thyroid hormone: Thyroid cancer and I-131 therapy

Thyroid hormone: Thyroid cancer and I-131 therapy

In the study in overview of the benefits of I-131 therapy for ablation, adjuvant treatment, and treatment of locoregional and/or metastasis of well-differentiatedthyroid cancer and considers the risks of complications of I-131 therapy, showed that although there are never-ending controversies regarding I-131 therapy in well-differentiated thyroid cancer, the benefits and risks are becoming better understood. This in turn helps the treating physician and patient in making decisions regarding therapy(63).

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Sources
(63) http://www.ncbi.nlm.nih.gov/pubmed/20001720

Sunday, July 9, 2017

Thyroid hormone: Treatment of patients with anaplastic thyroid cancer

Thyroid hormone: Treatment of patients with anaplastic thyroid cancer

Anaplastic thyroid cancer is known to have a poor prognosis due to its aggressive and rapid metastasis with median survival of less than 6 months. In a retrospectively reviewed medical records of 13 anaplastic thyroid cancer patients who received multidisciplinary treatment between 2006 and 2010, showed thatthe median patient age at diagnosis was 69 years, and six patients had stage IVc diseases. Eight patients received primary surgery followed by radiotherapy or concurrent chemoradiotherapy (CCRT). Five patients received weekly doxorubicin-based definitive CCRT, but only one patient's condition remained stable, while the rest experienced rapid disease progression. The median progression-free survival was 2.8 months (95% CI, 1.2-4.4 months), and the median overall survival was 3.8 months (95% CI, 3.0-4.6 months)(62).

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Sources
(62) http://www.ncbi.nlm.nih.gov/pubmed/22318823

Saturday, July 8, 2017

Thyroid hormone: Analysis of patients with anaplastic thyroid cancer

Thyroid hormone: Analysis of patients with anaplastic thyroid cancer

In the study to to analyze the clinicopathologic characteristics of patients diagnosed with ATC expected to undergo curative thyroidectomy, with the goal of finding differences between patients surviving ≥6 months and <6 months, found that ATC showed female predominance. Patients initially presented with neck mass, and median age was 55 years. In patients with ATC who are expected to undergo curative thyroidectomy, surgery should actively be considered as primary therapy for patient survival when the size is <5 cm(61).

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Sources
(61) http://www.ncbi.nlm.nih.gov/pubmed/22977757

Friday, July 7, 2017

Thyroid hormone: Congenital hypothyroidism (CH)

Thyroid hormone: Congenital hypothyroidism (CH)

Congenital hypothyroidism (CH) is defined as thyroid hormone deficiency present at birth. According to the study by Department of Pediatrics, Dhahran Health Center, CH is classified into permanent and transient forms, which in turn can be divided into primary, secondary, or peripheral etiologies. Permanent CH refers to a persistent deficiency of thyroid hormone that requires life-long treatment. Transient CH refers to a temporary deficiency of thyroid hormone that is discovered at birth but recovers to normal in the first few months or years of life. Babies with CH who are not identified and treated promptly develop severe mental retardation. Most of the babies with CH do not manifest the typical known signs and symptoms of hypothyroidism, and this is most likely due to transplacental passage of some maternal thyroid hormone in addition to some residual neonatal thyroid function, as might be seen with thyroid hypoplasia, an ectopic gland, or mild dyshormonogenesis(70).

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Sources
(70) http://www.ncbi.nlm.nih.gov/pubmed/22570946

Thursday, July 6, 2017

Thyroid hormone: Skeletal responses to disruption of the hypothalamic-pituitary-thyroid axis

Thyroid hormone: Skeletal responses to disruption of the hypothalamic-pituitary-thyroid axis

In the study to review the skeletal responses to disruption of the hypothalamic-pituitary-thyroid axis result from altered thyroid hormone (T(3)) action in bone of mice, showed that these mice must display opposing skeletal phenotypes if TSH has a major role in bone, whereas they would be similar if thyroid hormone actions predominate. Pax8(-/-) and hyt/hyt mice both displayed delayed ossification, reduced cortical bone, a trabecular bone remodeling defect, and reduced bone mineralization, thus indicating that the skeletal abnormalities of congenital hypothyroidism are independent of TSH. Treatment of primary osteoblasts and osteoclasts with TSH or a TSHR-stimulating antibody failed to induce a cAMP response. Furthermore, TSH did not affect the differentiation or function of osteoblasts or osteoclasts in vitro(69).

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Sources
(69) http://www.ncbi.nlm.nih.gov/pubmed/17932107