Rifampin-Induced Hypothyroidism in Patients with Hashimoto's Thyroiditis
Abstract
To the Editor: Rifampin is often used to treat tuberculosis.1 Isley2 reported on a patient with treated hypothyroidism (euthyroid while taking stable doses of thyroxine) but who again became hypothyroid after receiving rifampin. We now report on three euthyroid patients with Hashimoto's thyroiditis who became frankly hypothyroid after the administration of rifampin. A 62-year-old man with recurrent non-Hodgkin's lymphoma was admitted one month before the onset of a productive cough. He had been euthyroid (thyrotropin level, 2.0 to 2.4 mU per liter) but had positive tests for antithyroid antibodies (thyroid peroxidase antibody level, 28 U per milliliter [normal value, <6.7]; . . .
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Case reports in a single athyreotic patient and three patients with Hashimoto's hypothyroidism document a substantially increased TSH and subsequent need for increased LT4 dose with introduction of rifampin.
“Case reports in a single athyreotic patient (184) and three patients with Hashimoto's hypothyroidism (185) document a substantially increased TSH and subsequent need for increased LT4 dose with introduction of rifampin.”
From Guidelines for the Treatment of Hypothyroidism: Prepared by the American Thyroid Association Task Force on Thyroid Hormone Replacement (2014) · cites this paper as [185]
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Jonklaas, J., Bianco, A. C., Bauer, A. J., Burman, K. D., Cappola, A. R., Celi, F. S., Cooper, D. S., Kim, B. W., Peeters, R. P., Rosenthal, M. S., et al. (2014) · Thyroid® · doi:10.1089/thy.2014.0028 · Cited by 1,928 · see citing works
“Case reports in a single athyreotic patient (184) and three patients with Hashimoto’s hypothyroidism (185) document a substantially increased TSH and subsequent need for increased LT4 dose with introduction of rifampin.”
Imatinib induces hypothyroidism in patients receiving levothyroxine
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Thyroid Dysfunction as an Unintended Side Effect of Anticancer Drugs
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Drug-induced endocrine disorders in the intensive care unit
Thomas, Z., Bandali, F., McCowen, K., & Malhotra, A. (2010) · Critical Care Medicine · doi:10.1097/ccm.0b013e3181dda0f2 · Cited by 30 · see citing works
Drugs and Other Substances Interfering with Thyroid Function
Montanelli, L., Benvenga, S., Hegedüs, L., Vitti, P., Latrofa, F., & Duntas, L. H. (2018) · Endocrinology · doi:10.1007/978-3-319-45013-1_27 · Cited by 18 · see citing works
- Authors
- Takasu, N., Takara, M., & Komiya, I.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2005-02-03
- Volume
- 352
- Issue
- 5
- Pages
- 518-519
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2000438548
- Cited by
- 27
- References
- 8
- Citations by year
- 2018: 3 · 2015: 1 · 2014: 2 · 2013: 2 · 2012: 2
- FWCI
- 2.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Health Sciences › Medicine › Surgery › Thyroid and Parathyroid Surgery
- Keywords
- rifampicin, drug-induced hypothyroidism, Hashimoto's thyroiditis, thyroid autoantibodies, thyroid peroxidase antibodies, tuberculosis treatment, thyroxine
- MeSH terms
- Aged, Antibiotics, Antitubercular, Female, Humans, Hypothyroidism, Male, Middle Aged, Rifampin, Thyroid Hormones, Thyroiditis, Autoimmune, Tuberculosis
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