Journal of Thyroid Disorders & Therapy
Open Access

Tse-Jen Lien

Publications

• Research Article
  Hemodialysis Patients with Incidental Hypothyroidism -The Approach to L-thyroxine
  Author(s): Yee Yung Ng, Shiao Chi Wu, Chih Yu Yang, Fen Hsiang Hu, Chun Cheng Hou, Nai Yung Ku, Wen Chieh Wu, Tse-Jen Lien and Wu Chang Yang Yee Yung Ng, Shiao Chi Wu, Chih Yu Yang, Fen Hsiang Hu, Chun Cheng Hou, Nai Yung Ku, Wen Chieh Wu, Tse-Jen Lien and Wu Chang Yang
  
  Aim: This study investigated the effect of L-thyroxine on clinical manifestations and EPO responses, and the approach to L-thyroxine dosage adjustment for HD patients with Incidental hypothyroidism. Methods: Ten cases of Incidental hypothyroidism were diagnosed in 695 HD patients. In this study, L-thyroxine therapy was given only to hypothyroid HD patients with clinical symptoms, hematocrit <35%, and whose hypothyroidism was caused by medications which could not be discontinued. The initial dosage of L-thyroxine was 0.025 mg daily, and continuous adjustment was made according to clinical manifestations, patient’s tolerance of L-thyroxine, and hematocrit level rather than TSH, T4 or FT4 value. Results: Of the 10 cases of Incidental hypothyroidism, 2 were autoimmune-induced, 5 were non-autoimmuneinduced, 2 w.. View More»
  DOI: 10.4172/2167-7948.1000138

  Abstract PDF

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