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less common than the non-suppurative post-viral variety, de Quervain's disease. It occurs mainly in immunocompromised and elderly patients [ 1 ]. Possible reasons for the infrequency of suppurative infections of the thyroid include the gland's abundant
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Royal Victoria Infirmary, Newcastle upon Tyne, UK
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Queen Elizabeth Hospital, Gateshead, UK
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patients, examining hard cardiovascular end points in various classes of age, are clearly warranted. Based on these data and the present joint statement, it is therefore evident that the guidelines, especially recommendation 21 stating ‘In the elderly
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elderly with underlying cardiovascular diseases. However, the benefits of TSH screening in high-risk patients have not been demonstrated so far. Moreover, a normal baseline thyroid function does not exclude the development of TD after ICM exposure [ 34
Department of Gerontology and Geriatrics, Leiden University Medical Center, Leiden, The Netherlands
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Beckett NS, Peters R, Fletcher AE, et al: Treatment of hypertension in patients 80 years of age or older. N Engl J Med 2008;358:1887-1898. 10.1056/NEJMoa0801369 18378519 7 Shepherd J, Blauw GJ, Murphy MB, et al: Pravastatin in elderly individuals
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Department of Pathology, Albert Einstein School of Medicine, New York, N.Y., USA
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important other clinical populations (nonthyroidal illness, pregnancy, elderly people). 3 Implementation. We wish to hear your views on how clinical laboratories can minimize the identified risks from free T 4 standardization and TSH harmonization, and
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nature despite frequent metastasis to regional lymph nodes, which is typically seen in young adults. However, some patients with this cancer, typically elderly patients, have poor clinical courses. Male gender, age, tumor size, extrathyroid extension
: Iodine intake and the pattern of thyroid disorders: a comparative epidemiological study of thyroid abnormalities in the elderly in Iceland and in Jutland, Denmark. J Clin Endocrinol Metab 1998;83:765-769. 10.1210/jcem.83.3.4624 9506723 3 Rasmussen
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patients. The presence of goitre in case scenario 2 increased the preference to treat the elderly patient with levothyroxine from 8 to 19% (fig. 2 ). Goitre provides evidence for the physician that there is definitely an intrinsic thyroid disease and thus
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Laboratory of Social Pharmacy and Public Health, School of Pharmacy, University of Coimbra, Coimbra, Portugal
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Laboratory of Social Pharmacy and Public Health, School of Pharmacy, University of Coimbra, Coimbra, Portugal
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robust with regards to the association between hypothyroidism and adverse cardiovascular outcomes. A meta-analysis of individual data on >2,500 elderly participants found that the risk of coronary heart disease and mortality is increased in subjects with
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a third generation TSH assay is not available in an iodine sufficient area, an upper limit of normal of 4.12 should be considered” [ 20 ]. Similarly, Latin American Thyroid Society recommendations are “against routine treatment for elderly (>65 years
