Diagnosaurus
TSH decreased
Etiology
- Primary hyperthyroidism, eg, Graves’ disease, toxic multinodular goiter, toxic nodule, subacute thyroiditis, early Hashimoto’s disease
- Thyroid hormone administration
- Severe nonthyroidal illness
- Dopamine or dopamine agonists (levodopa, bromocriptine)
- Pregnancy
- hCG-secreting trophoblastic tumor
- Acute psychiatric illness
- Acute glucocorticoid administration
- Other drugs, eg, NSAIDs, amphetamines, octreotide, opioids, nifedipine, verapamil
- "Subclinical" hyperthyroidism: low TSH, clinically euthyroid, normal T4, common in elderly (10%), risk of atrial fibrillation and osteoporosis
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Last updated: December 1, 2014
Citation
Zeiger, Roni F.. "TSH Decreased." Diagnosaurus, 4th ed., McGraw-Hill Education, 2014. Emergency Central, emergency.unboundmedicine.com/emergency/view/Diagnosaurus/114306/all/TSH_decreased.
Zeiger RFR. TSH decreased. Diagnosaurus. McGraw-Hill Education; 2014. https://emergency.unboundmedicine.com/emergency/view/Diagnosaurus/114306/all/TSH_decreased. Accessed December 11, 2023.
Zeiger, R. F. (2014). TSH decreased. In Diagnosaurus (4th ed.). McGraw-Hill Education. https://emergency.unboundmedicine.com/emergency/view/Diagnosaurus/114306/all/TSH_decreased
Zeiger RFR. TSH Decreased [Internet]. In: Diagnosaurus. McGraw-Hill Education; 2014. [cited 2023 December 11]. Available from: https://emergency.unboundmedicine.com/emergency/view/Diagnosaurus/114306/all/TSH_decreased.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - TSH decreased
ID - 114306
A1 - Zeiger,Roni F,
Y1 - 2014/12/01/
BT - Diagnosaurus
UR - https://emergency.unboundmedicine.com/emergency/view/Diagnosaurus/114306/all/TSH_decreased
PB - McGraw-Hill Education
ET - 4
DB - Emergency Central
DP - Unbound Medicine
ER -
