Cited by 345Thyroid Disorders and TreatmentsThyroid Cancer Diagnosis and TreatmentThyroid and Parathyroid Surgery

The sick euthyroid syndrome: changes in thyroid hormone serum parameters and hormone metabolism

Docter, R., Krenning, E. P., de Jong, M., Hennemann, G.·1993·Clinical Endocrinology

Integrity signals

Registry

Crossref · 10.1111/j.1365-2265.1993.tb02401.x

Cites

241 of 241 references verified0 citation errors · 0 not checkable

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  • While serum T3 levels may decline by 30% and remain within the normal range, tissue T3 may decline by 70-80%, resulting in profound cellular hypothyroidism with normal serum TSH, FT4, and FT3 levels.

    “While serum T3 levels may decline by 30%, which is significant, but still within the so-called “normal range”, tissue T3 may decline by 70–80%, resulting in profound cellular hypothyroidism with normal serum TSH, FT4, and FT3 levels”
  • TSH may be a poor indicator of peripheral thyroid levels in conditions such as chronic stress, chronic illness, diabetes, insulin resistance, obesity, leptin resistance, depression, chronic fatigue syndrome, fibromyalgia, premenstrual syndrome, and dieting or weight gain.

    “As a result, TSH may be a poor indicator of peripheral thyroid levels in the presence of such conditions.”

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Authors
Docter, R., Krenning, E. P., de Jong, M., & Hennemann, G.
Affiliations
Erasmus MC (NL)
Corresponding author
Docter, R.
Venue
Clinical Endocrinology
Publisher
Wiley
Published
1993-11
Volume
39
Issue
5
Pages
499-518
ISSN
  • 0300-0664 (ISSN-L)
  • 1365-2265
OpenAlex
W2121588417
Cited by
345
References
242
Citations by year
2026: 2 · 2025: 3 · 2024: 4 · 2023: 7 · 2022: 12 · 2021: 6 · 2020: 8 · 2019: 12 · 2018: 6 · 2017: 6 · 2016: 10 · 2015: 10 · 2014: 9 · 2013: 12 · 2012: 10
FWCI
3.92
Type
journal article
Language
en
Open access
closed
Locations
  • Clinical Endocrinology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Disorders and Treatments
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Cancer Diagnosis and Treatment
  • Health Sciences › Medicine › Surgery › Thyroid and Parathyroid Surgery
Keywords
low T3 syndrome, thyroid hormones, serum thyroid hormones, thyroid hormone metabolism
MeSH terms
Euthyroid Sick Syndromes, Humans, Thyroid Hormones, Thyrotropin, Thyroxine, Triiodothyronine

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