Contenido principal del artículo

Juan José Corrales-Hernández
1Servicio de Endocrinología y Nutrición. Hospital Clínico Universitario. Departamento de Medicina. Centro de Investigación del Cáncer (IBMCC-CSIC/USAL) e Instituto de Investigación Biomédica de la Universidad de Salamanca (IBSAL). Salamanca. España.
España
Biografía
Ana Isabel Sánchez-Marcos
Servicio de Endocrinología y Nutrición. Hospital Clínico Universitario. Departamento de Medicina. Universidad de Salamanca. Salamanca. España
España
Biografía
José María Recio-Córdova
Servicio de Endocrinología y Nutrición. Hospital Clínico Universitario. Departamento de Medicina. Universidad de Salamanca. Salamanca. España
España
Biografía
Rosa Ana Iglesias-López
Servicio de Endocrinología y Nutrición. Hospital Clínico Universitario. Salamanca. España
España
Biografía
María Teresa Mories Alvárez
Servicio de Endocrinología y Nutrición. Hospital Clínico Universitario. Departamento de Medicina. Universidad de Salamanca. Salamanca. España
España
Biografía
Vol. 11 Núm. 3 (2020), Artículo de revisión, Páginas 273-281
DOI: https://doi.org/10.14201/orl.20957
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Resumen

El hipertiroidismo es una enfermedad común que afecta a un 0.2% de la población en Europa. Aun siendo un síndrome, el tratamiento varía dependiendo de la causa. Los mecanismos patogénicos de cada una de las etiologías dictan la selección del tratamiento, siendo el hipertiroidismo un buen modelo de medicina de precisión, por cuanto una vez conocida la patogenia se personaliza el tratamiento. En este capítulo se considera el tratamiento de las causas más comunes como son la enfermedad de Graves-Basedow, el bocio multinodular y adenoma tóxico, causas menos frecuentes que incluyen diverso tipo de tiroiditis y causas raras como los tirotropinomas, e hipertiroidismo por patologías obstétricas y ginecológicas. Para el tratamiento médico de estas condiciones disponemos de un arsenal que incluye drogas antitiroideas, beta-bloqueadores, glucocorticoides, análogos de la somatostatina, agonistas dopaminérgicos, ácido iopanoico e, incluso, agentes antineoplásicos. El tratamiento con radioyodo es objeto de otro trabajo aparte.

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