Manejo del hipotiroidismo subclínico en adultos jóvenes. Revisión sistemática

Abstract

Introduction: Subclinical hypothyroidism is an endocrine disorder characterized by elevated levels of thyroid-stimulating hormone while maintaining average concentrations of free thyroxine in the blood, suggesting altered thyroid gland function. The treatment for this condition typically involves levothyroxine; however, certain factors must be considered to guide a more appropriate management approach. Objective: To describe the management of subclinical hypothyroidism in young adults through a systematic review. Methodology: A systematic review was conducted following PRISMA guidelines, employing a descriptive and retrospective study based on articles and scientific journals from major databases such as PubMed, Google Scholar, World Health Organization, and Pan American Health Organization. Open-access articles categorized within SCImago quartiles Q1 and Q2, related to the management of subclinical hypothyroidism in young adults, were included in the review. Conclusion: The findings reveal a higher prevalence of subclinical hypothyroidism among young adults aged 27 to 29 years. Therefore, it is essential to consider management criteria for subclinical hypothyroidism, as treatment is entirely individualized for each patient. Keywords: thyroid dysfunction, subclinical hypothyroidism, levothyroxine, thyroxine, triiodothyronine