Journal of Diabetes Medication & Care

Thyroid Syndrome Top Journals

 Thyroid disorders are conditions that affect the thyroid, a butterfly-shaped gland within the front of the neck. The thyroid has important roles to manage numerous metabolic processes throughout the body. Different types of thyroid disorders affect either its structure or function. The thyroid is found below the Adam's apple wrapped round the trachea (windpipe). A thin area of tissue within the gland's middle, mentioned because the isthmus, joins the two thyroid lobes on all sides. Treatment involves achieving the euthyroid state. In hypothyroidism, this is commonly achieved with hormone replacement therapy. Replacement levo-thyroxine should be taken on an empty stomach with water in the AM. It is recommended to wait at least 1/2 hour prior to eating. In primary hyperthyroidism, radioactive iodine ablation, medication therapy such as methimazole and propylthiouracil, or surgery are common modalities. Referral to an endocrinologist is recommended. Patients generally recover well with treatment at both extremes. Osteoporosis related to hyperthyroidism requires treatment to realize the euthyroid state. Additional treatment with bisphosphonates based on FRAX guidelines is recommended. Calcium and vitamin D supplementation when appropriate is recommended. Bone density should be checked every 2 years and often improves with the correction to the euthyroid state. Treatment of thyroid acropachy often requires systemic corticosteroids for joint manifestations. Tobacco cessation is recommended. In ophthalmopathy, corneal drying and ulceration must be prevented ocular lubricants. Orbital decompression can be used in severe cases. Beta-blockade in hyperthyroid myopathy may assist in muscle function.  

High Impact List of Articles

Relevant Topics in Material Science