Challenging Thyroid Cases in Clinical Practice

Thyroid disorders are prevalent, and their manifestations divergent sometimes it is very challenging to diagnose deal with some cases in clinical practice. Here seven different will be discussed that help clinicians treat such dayto- day First case enlightened us function should not assessed seriously ill patients unless there a strong suspicion of thyroid dysfunction, since many other factors acutely or chronically euthyroid influence tests. The second taught assay interference Biotin ingestion taking hold the supplement for two days prior assessing function. Subacute thyroiditis self-limiting inflammatory condition gland COVID-19 virus infection may associated subacute as complication occur without any previous disorder revealed third case. In Secondary hypothyroidism/Hypopituitarism, TSH low, normal, even slightly elevated due inactive isoform blood. fourth shows only testing practice leads missing hypothyroidism/Hypopituitarism. Learning from fifth during monitoring thyrotoxic ATDs, serum remain suppressed several months after starting therapy therefore good parameter early treatment, rather we rely on FT4 FT3. sixth low pregnancy, Gestational transient Thyrotoxicosis excluded which commonly hyperemesis gravidarum no history disease, stigmata Graves’ disease (Goiter, ophthalmopathy) self-limited mild disorder. poorly compliant patients, combination high seventh Bangladesh J Medicine 2023; Vol. 34, No. 2(1) Supplement: 189