{"id":2191,"date":"2018-08-10T21:36:26","date_gmt":"2018-08-10T21:36:26","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=1174"},"modified":"2025-05-13T20:24:31","modified_gmt":"2025-05-13T20:24:31","slug":"subclinical-hyperthyroidism","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/subclinical-hyperthyroidism\/","title":{"rendered":"Diagn\u00f3stico de Hipertiroidismo Subcl\u00ednico"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>En el hipertiroidismo evidente, los niveles s\u00e9ricos de T4 libre y triyodotironina (T3) o los niveles de T3 solo son elevados, y los niveles s\u00e9ricos de tirotrofina (TSH) est\u00e1n suprimidos. En el hipertiroidismo subcl\u00ednico, los niveles de T4 y T3 libres son normales, los niveles de TSH est\u00e1n suprimidos, y los niveles de hormona tiroidea generalmente est\u00e1n en el rango medio a superior de lo normal.<br \/>\n<!--more--><br \/>\nEl diagn\u00f3stico de hipertiroidismo subcl\u00ednico se basa en los resultados de laboratorio, pero muchas otras situaciones cl\u00ednicas comunes se asocian con hallazgos de laboratorio similares.<\/p>\n<p><strong>Hipertiroidismo primario evidente<\/strong><br \/>\nSupresi\u00f3n de los niveles de tirotrofina (TSH) y los niveles elevados de tiroxina libre (T4) y triyodotironina (T3) o niveles elevados de T3 solamente<\/p>\n<p><strong>Hipertiroidismo subcl\u00ednico<\/strong><br \/>\nEn casos leves, bajos pero detectables niveles s\u00e9ricos de tirotrofina (0,1 a 0,4 mU por litro) con niveles normales de T4 y T3 libres.<br \/>\nEn casos severos, nivel de tirotrofina s\u00e9rica indetectable (&lt;0,1 mU por litro) con niveles normales de T4 y T3 libres<br \/>\n<strong>Otras causas de bajos niveles s\u00e9ricos de tirotrofina<\/strong><br \/>\nLas siguientes causas de niveles bajos de tirotropina s\u00e9rica deben descartarse antes de que se realice un diagn\u00f3stico de hipertiroidismo subcl\u00ednico:<\/p>\n<ol>\n<li>Enfermedad grave no tiroidea<\/li>\n<li>Administraci\u00f3n de medicamentos que suprimen los niveles s\u00e9ricos de tirotrofina (p. Ej., Dopamina, altas dosis de glucocorticoides, dobutamina, an\u00e1logos de somatostatina, anfetaminas, bromocriptina y bexaroteno)<\/li>\n<li>Enfermedad pituitaria o hipotal\u00e1mica que causa deficiencia de hormona tiroidea o tirotrofina<\/li>\n<li>Enfermedad psiqui\u00e1trica<\/li>\n<li>\u00daltimo trimestre del embarazo<\/li>\n<li>Hiperemesis grav\u00eddica<\/li>\n<li>Edad avanzada (es decir, cambios inducidos por la edad en el eje tiroideo hipotal\u00e1mico-hipofisario en \u00e1reas del mundo con deficiencia de yodo)<\/li>\n<li>Afrodescendientes (los niveles de tirotrofina est\u00e1n por debajo del rango de referencia en 3 a 4% de los pacientes)<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Biondi B, Cooper DS.\u00a0Subclinical Hyperthyroidism.\u00a0N Engl J Med. 2018 Jun 21;378(25):2411-2419. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29924956\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>De Leo S, Lee SY, Braverman LE. Hyperthyroidism.\u00a0Lancet. 2016 Aug 27;388(10047):906-918. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27038492\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Ago 07, 2018.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>En el hipertiroidismo evidente, los niveles s\u00e9ricos de T4 libre y triyodotironina (T3) o los niveles de T3 solo son elevados, y los niveles s\u00e9ricos de tirotrofina (TSH) est\u00e1n suprimidos. En el hipertiroidismo subcl\u00ednico, los niveles de T4 y T3 libres son normales, los niveles de TSH est\u00e1n suprimidos, y los niveles de hormona tiroidea [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[153],"tags":[123,13,412,411,410,409,408,407,413],"class_list":["post-2191","post","type-post","status-publish","format-standard","hentry","category-endocrinology-and-metabolism","tag-diagnosis","tag-diagnostico","tag-hipertiroidismo","tag-hyperthyroidism","tag-subclinical","tag-subclinico","tag-t3","tag-t4","tag-tsh"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Diagn\u00f3stico de Hipertiroidismo Subcl\u00ednico - MedicalCRITERIA.com<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medicalcriteria.com\/web\/es\/subclinical-hyperthyroidism\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"[:es]Diagn\u00f3stico de Hipertiroidismo Subcl\u00ednico[:en]Diagnosis of Subclinical Hyperthyroidism[:] - MedicalCRITERIA.com\" \/>\n<meta property=\"og:description\" content=\"En el hipertiroidismo evidente, los niveles s\u00e9ricos de T4 libre y triyodotironina (T3) o los niveles de T3 solo son elevados, y los niveles s\u00e9ricos de tirotrofina (TSH) est\u00e1n suprimidos. En el hipertiroidismo subcl\u00ednico, los niveles de T4 y T3 libres son normales, los niveles de TSH est\u00e1n suprimidos, y los niveles de hormona tiroidea [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/medicalcriteria.com\/web\/es\/subclinical-hyperthyroidism\/\" \/>\n<meta property=\"og:site_name\" content=\"MedicalCRITERIA.com\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/medicalcriteria\/\" \/>\n<meta property=\"article:published_time\" content=\"2018-08-10T21:36:26+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-05-13T20:24:31+00:00\" \/>\n<meta name=\"author\" content=\"Guillermo Firman\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Guillermo Firman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/es\\\/subclinical-hyperthyroidism\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/es\\\/subclinical-hyperthyroidism\\\/\"},\"author\":{\"name\":\"Guillermo Firman\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#\\\/schema\\\/person\\\/ead6734a2f20659131388ba822c7078c\"},\"headline\":\"Diagn\u00f3stico de Hipertiroidismo Subcl\u00ednico\",\"datePublished\":\"2018-08-10T21:36:26+00:00\",\"dateModified\":\"2025-05-13T20:24:31+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/es\\\/subclinical-hyperthyroidism\\\/\"},\"wordCount\":623,\"publisher\":{\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/#organization\"},\"keywords\":[\"Diagnosis\",\"diagnostico\",\"hipertiroidismo\",\"hyperthyroidism\",\"Subclinical\",\"subcl\u00ednico\",\"T3\",\"T4\",\"TSH\"],\"articleSection\":[\"Endocrinology and Metabolism\"],\"inLanguage\":\"es\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/es\\\/subclinical-hyperthyroidism\\\/\",\"url\":\"https:\\\/\\\/medicalcriteria.com\\\/web\\\/es\\\/subclinical-hyperthyroidism\\\/\",\"name\":\"[:es]Diagn\u00f3stico de Hipertiroidismo Subcl\u00ednico[:en]Diagnosis of Subclinical Hyperthyroidism[:] - 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