ASAP Live Session: Thyroid Disorders - Thursday, September 21, 2023: 7:00-8:00 pm ET-Presentation

Presentation

Pdf Summary

The document outlines a live ASAP session on the diagnosis and management of thyroid disorders scheduled for October 24, 2023, from 7:00-8:00 pm EDT. The session will be led by Dr. Elias S. Siraj and Dr. Geetha Gopalakrishnan, with prominent contributors from Rutgers Robert Wood Johnson Medical School, including David A. Cohen, MD, and Sara Lubitz, MD. The discussion includes the presentation and management of various thyroid disorder cases.<br /><br />**Highlighted Cases:**<br />1. **Case 1:** A 63-year-old woman with an incidental 2.5-cm thyroid nodule. Diagnostic molecular testing for an indeterminate cytologic result of suspicious follicular neoplasm is discussed.<br /><br />2. **Case 2:** A 36-year-old woman with nonthyroidal illness syndrome (NTIS) due to severe sepsis. The syndrome's impact on thyroid function tests, with no indication for thyroid hormone replacement, is highlighted.<br /><br />3. **Case 3:** A 36-year-old woman with elevated T4 and high-normal TSH, diagnosed with resistance to thyroid hormone beta (RTH-β). Differential diagnoses included hereditary TBG deficiency, FDH, and RTH-α.<br /><br />4. **Case 4:** A 57-year-old woman with a new thyroid nodule. The recommended approach is observation rather than invasive procedures, guided by ultrasonography showing a spongiform nodule.<br /><br />5. **Case 5:** A 28-year-old woman with abnormal thyroid function tests due to biotin interference. Medications like carbamazepine, estrogen-progesterone contraceptive, lithium were assessed, but biotin was found to be the culprit.<br /><br />6. **Case 6:** A 33-year-old woman with clinical thyrotoxicosis and Graves' disease. The case discusses the importance of further evaluating a cold nodule found on a thyroid scan via ultrasound before deciding on treatment options like radioactive iodine ablation or surgery.<br /><br />The session aims to enhance understanding and management of complex thyroid conditions using current guidelines and molecular diagnostic advancements.

Keywords

thyroid disorders

diagnosis

management

ASAP session

molecular testing

nonthyroidal illness syndrome

resistance to thyroid hormone

thyroid nodule

biotin interference

Graves' disease