CLINICAL PROFILE OF THYROID DISORDERS IN DR. SOETOMO GENERAL HOSPITAL SURABAYA

Abstract

INTRODUCTION
Thyroid disorders remain a global health problem with devastating consequences which can affect all populations. Among thyroid disorders, hyperthyroid is more prevalent than hypothyroid with prevalence rate 6.9%. However, data regarding its clinical profile remain scarce because only 0.4% of the Indonesian population are diagnosed with hyperthyroidism and there is no data regarding hypothyroidism.

METHODOLOGY
Cross-sectional study with consecutive sampling from June 2018 to May 2019 was conducted in endocrinology, metabolic, and diabetes outpatient department. Inclusion criteria were ages more than 18 years old during examination. Anthropometric and clinical profiles were examined during outpatient visitation. Data were processed with SPSS v21.0.

RESULTS
There were 47 patients (median: 40 [21-78] years old) included in this study with female more prevalent compared to male (78.7% vs 21.3%). Hyperthyroidism accounted for 70.2% of thyroid disorders referred to endocrinology outpatient department. Graves’ Disease accounted for 66.7% of cases of hyperthyroidism. Median disease duration was 3 years (0.25-30 years). The median FT4 and TSH level for hyperthyroid disorders were 1.16 µg/ dL and 0.05 mIU/L whereas for hypothyroid were 0.95 µg/ dL and 4.47 mIU/L respectively.

CONCLUSION
Among thyroid disorders, hyperthyroidism remains the leading thyroid disorder in Surabaya. Therefore, we recommend hyperthyroidism screening for people with thyrotoxicosis.