![]() ![]() ![]() Severe traumatic brain injuries, blood loss, massive burns, hypothermia, dehydration, and starvation can provoke euthyroid sick syndrome. There are cases of ESS caused by the introduction of iodine-containing radiopaque drugs. Thyroid status may change under the influence of medications: corticosteroids, amiodarone, salicylates, anticoagulants, diuretics, estrogens, lithium preparations. ESS occurs with hereditary erythrocytosis, gestosis in pregnant women. Cases of euthyroid sick syndrome in infections ( viral hepatitis, AIDS, sepsis) are described. Pseudodisfunction of the thyroid gland can develop in pathologies of the gastrointestinal tract (stomach ulcer, NUC, functional dyspepsia, IBS), lungs (pneumonia, COPD, tuberculosis), heart and blood vessels (myocardial infarction, CHF, stroke), joints ( rheumatoid arthritis, osteoarthritis), kidneys (terminal CRF), endocrinopathies ( DM 1 and 2 types), etc. The causes of this phenomenon are the following conditions: With ESS, the metabolism and transport of thyroid hormones, as well as the regulation of their secretion, are disrupted. CausesĮuthyroid sick syndrome is a somatogenically caused changes in the concentration of thyroid and thyroid-stimulating hormone (TSH) in the absence of primary damage to the endocrine glands. Depending on the cause, the frequency of euthyroid sick syndrome (ESS) varies from 10 to 65%. The syndrome has been studied since 1968, when for the first time thyroid hormone fluctuations were detected in athletes that were not associated with thyroid or pituitary dysfunction. It develops against the background of severe somatic pathologies in the absence of an organic lesion of the thyroid gland. E07.8 Other specified thyroid diseases MeaningĮuthyroid sick syndrome has several alternative names: the syndrome of non-thyroid diseases, the syndrome of pseudodisfunction of the thyroid gland, the syndrome of euthyroid weakness. ![]()
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