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Endocrine Abstracts (2018) 56 EP155 | DOI: 10.1530/endoabs.56.EP155

Hospital Zumarraga, Zumarraga, Guipuzcoa, Spain.


Objective: To know characteristics of patients older than 80 years with thyroid disease.

Patients and methods: Prospective 6-month study in which we analyze characteristics of patients that have been treated and followed for thyroid disease in endocrinology consult.

Results: Hundred and fifteen patients were analyzed of them, 23 men and 92 women, with 83.78±2.12 years-old. Comorbidities. Arterial hypertension 53%, previous neoplasms 18%, CHF15%, COPD 11%, cognitive impairment 11%, stroke 8%, ischemic heart disease 8%, chronic renal failure 6%. Thyroid pathologies were: hyperthyroidism 29% euthyroid goiters 28%, hypothyroidism 16%, subclinical hyperthyroidism 13%, thyroid cancer 6%, subclinical hypothyroidism 4%, amiodarone thyroiditis 4%. Study and treatment used was similar to patients under 80 year-old, multinodular goiter was the most frequently cause of hyperthyroidism. Metabolic pathologies associated: dyslipidemia 35%, type 2 diabetes mellitus 30%, osteoporosis 19%, hyperuricemia 10%, obesity 7%, hypoparathyroidism secondary to surgery 4%.

Discussion: The most common form of thyroid dysfunction in the elderly is subclinical hypothyroidism occurring up to 15%. In our study was hyperthyroidism, possibly due that subclinical hypothyroidism was controlled from primary care. Prevalence of hyperthyroidism in elderly ranges from 0.5 to 2.3%.The most frequents causes were toxic multinodular goiter, Graves’ disease, toxic adenoma. Subclinical hyperthyroidism may be present in up to 2%.

Conclusions: The prevalence of thyroid disease in elderly is higher than the general population and is associated with significant morbidity. Usually in the elderly healthy population there is a high rate of thyroid dysfunctions that are not detected. Dyslipidemia and diabetes mellitus were the main associated endocrine pathologies.

Volume 56

20th European Congress of Endocrinology

Barcelona, Spain
19 May 2018 - 22 May 2018

European Society of Endocrinology 

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