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  • [Malabsorption of thyroid hormones ... or simply poor patient compliance?].

[Malabsorption of thyroid hormones ... or simply poor patient compliance?].

Revue medicale de Liege (2013-04-26)
A Benoit, A Bouquegneau, P Petrossians, A Beckers
ABSTRACT

We report the case of a patient presenting with L-thyroxine pseudomalabsorbtion, a figure in which patients are in a state of biological, and, frequently, clinical hypothyroidism secondary to a lack of adherence to substitutive thyroid treatment. We then review the different causes of true thyroid hormones malabsorption and the different approaches to these situations. We also suggest diagnostic and therapeutic attitudes for clinicians facing suspicious cases of hormone malabsorption.

MATERIALS
Product Number
Brand
Product Description

Sigma-Aldrich
Thyrotropic hormone from human pituitary, lyophilized powder, ≥6.2 IU/mg (immunoassay, non-sterile)
Sigma-Aldrich
Thyrotropic hormone from bovine pituitary
Sigma-Aldrich
3,3′,5-Triiodo-L-thyronine, ≥95% (HPLC), powder
Sigma-Aldrich
L-Thyroxine, powder, BioReagent, suitable for cell culture
Sigma-Aldrich
L-Thyroxine, ≥98% (HPLC)
Supelco
L-Thyroxine (T4) solution, 100 μg/mL in methanol with 0.1N NH3, ampule of 1 mL, certified reference material, Cerilliant®
Supelco
3,3′,5-Triiodo-L-thyronine (T3) solution, 100 μg/mL in methanol with 0.1N NH3, ampule of 1 mL, certified reference material, Cerilliant®