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Factitious Graves' Disease Due to Biotin Immunoassay Interference-A Case and Review of the Literature.
Author: ConaglenJohn V, Du ToitStephen, ElstonMarianne S, SehgalShekhar, YarndleyTania
Original Abstract of the Article :
Biotin (vitamin B7) is an essential co-factor for four carboxylases involved in fatty acid metabolism, leucine degradation, and gluconeogenesis. The recommended daily intake (RDI) of biotin is approximately 30 μg per day. Low-moderate dose biotin is a common component of multivitamin preparations, a...See full text at original site
Dr.Camel's Paper Summary Blogラクダ博士について
ラクダ博士は、Health Journal が論文の内容を分かりやすく解説するために作成した架空のキャラクターです。
難解な医学論文を、専門知識のない方にも理解しやすいように、噛み砕いて説明することを目指しています。
* ラクダ博士による解説は、あくまで論文の要点をまとめたものであり、原論文の完全な代替となるものではありません。詳細な内容については、必ず原論文をご参照ください。
* ラクダ博士は架空のキャラクターであり、実際の医学研究者や医療従事者とは一切関係がありません。
* 解説の内容は Health Journal が独自に解釈・作成したものであり、原論文の著者または出版社の見解を反映するものではありません。
引用元:
https://doi.org/10.1210/jc.2016-1971
データ提供:米国国立医学図書館(NLM)
Biotin: A Vitamin with a Double Identity
Biotin, also known as vitamin B7, plays a crucial role in various metabolic processes. While it's generally considered a safe and essential nutrient, there's a twist: high doses of biotin can interfere with certain immunoassays, including those used to measure thyroid hormones. This study reports a case of factitious Graves' disease, where a patient's high-dose biotin supplementation led to an inaccurate diagnosis.
Misleading Results and the Importance of Accurate Diagnosis
The study reveals the potential for high-dose biotin supplementation to cause misleading results in thyroid immunoassays. This highlights the importance of accurate diagnosis and the need for healthcare professionals to be aware of potential interferences in lab tests. In this particular case, the patient's high biotin intake falsely suggested Graves' disease.
Biotin: A Double-Edged Sword
Biotin is a vital nutrient, but it can also become a double-edged sword. Like a mirage in the desert, high doses of biotin can create a false sense of reality in lab tests. This emphasizes the importance of consulting with a healthcare professional about appropriate biotin intake and the potential for interactions with medications or lab tests.
Dr.Camel's Conclusion
This study reminds us that even seemingly benign substances like biotin can have unintended consequences. It emphasizes the crucial role of healthcare professionals in accurately interpreting lab tests, especially when patients are taking supplements or medications.
Date :
- Date Completed 2017-06-20
- Date Revised 2022-03-31
Further Info :
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