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The risk of hypothyroidism does not remain the same across entire population. It changes depending upon sex, age and with presence or absence of other autoimmune disorders. 

 

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The following is the list of such factors which will serve as needle of  'suspicion'  and may help in early diagnosis as well as treatment of hypothyroidism.

 

  • Past history of thyroid / pituitary / hypothalamic disease.

  • Family history of thyroid disease.

  • Elderly individuals.

  • History of hyperlipidaemia.(increased levels of cholesterol, triglycerides)

  • History of depression.

  • Obesity.

  • History of drug intake e.g. amiodarone, iodine, lithium carbonate, para-aminosalicyclic acid

  • History of other autoimmune diseases in the patients or in the family.

  • Insulin dependent diabetes mellitus

  • Primary adrenal insufficiency

  • Pernicious anemia

  • Vitiligo

  • Malabsorption syndromes.

  • Collagen vascular disorders

  • History of thyroid surgery.

  • History of RAI-131 treatment for thyrotoxicosis

  • History of head and neck irradiation

  • History of postpartum thyroid dysfunction

  • Down syndrome

  • Short stature

 

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These patients need to be screened for the presence of hypothyroidism.

 

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