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International Primary Care Association

Clinical Focus Volume 6 N2

Management of Thyroid Disease


Thyroid disease is common. In a Primary Care group practice of 10,000 patients there are likely to be over 200 with hypothyroidism who require thyroxine replacement therapy and a further 100 who have subclinical disease. Hyperthyroidism is less common but with a prevalence of 0.7% a typical practice is likely to have 50-70 patients with clinical disease, and a further  50-70 with subclinical disease. A clear understanding of the diagnostic issues involving thyroid disease and key management issues are therefore essential. 

Additional Info

  • Authors: Dr Simon Page
  • Keywords: Graves’ disease, Hashimoto’s thyroiditis, toxic adenoma, multinodular goitre, hyperthyroidism, hypothyroidism, thyroxine, TSH
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Read 4671 times Last modified on Wednesday, 27 February 2013 08:51

1 comment

  • Swapan Das
    Comment Link
    Swapan Das 22 November 2012

    I think this medical topic is very important for all practicing GPs. I am sure GPs come across middle aged ladies come with complaints of gradual but steady gain in body weight . I think, apart from advising all relevant bio-chemical tests including Lipid profile + other routine laboratory tests, one should not forget to advice a Thyroid profile test as well. One may or may not get a positive family history of Hypothyroidism. But, on many occasion I found Hypothyroidism was the main culprit for obesity among middle aged female patients.

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