Skip to main content


Weitere Artikel dieser Ausgabe durch Wischen aufrufen

26.11.2019 | review article | Ausgabe 5-6/2020

Wiener klinische Wochenschrift 5-6/2020

Diagnosis and treatment of hypothyroidism in old people

A new old challenge

Wiener klinische Wochenschrift > Ausgabe 5-6/2020
Antonio Maria Borzì, Antonio Biondi, Francesco Basile, PhD Marco Vacante
Wichtige Hinweise
All authors contributed equally to the manuscript preparation.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.



To review the diagnosis and the treatment of both subclinical and overt hypothyroidism in old people, which could represent a challenge for the clinicians.


Narrative literature review. An extensive literature search was performed using the databases of Scopus, Medline through PubMed, and Google Scholar from January 1975 to May 2019. The search terms were “hypothyroidism,” “older adults,” “elderly,” and “myxedema.”


Hypothyroidism is more common among older subjects in comparison to the younger counterparts. The hypothalamic-pituitary-thyroid axis and its hormones undergo significant changes due to the physiological aging process. For a correct diagnosis of hypothyroidism in old people clinicians must take such age-related changes into account.


The administration of replacement therapy in older adults should consider frailty, polypharmacy and a high risk to develop overtreatment symptoms. On the other hand, older patients with untreated or undertreated hypothyroidism may develop a state of myxedema coma.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Sie möchten Zugang zu diesem Inhalt erhalten? Dann informieren Sie sich jetzt über unsere Produkte:

Abo für kostenpflichtige Inhalte

Über diesen Artikel

Weitere Artikel der Ausgabe 5-6/2020

Wiener klinische Wochenschrift 5-6/2020 Zur Ausgabe

MUW researcher of the month

MUW researcher of the month