Michael S. Rowe, MD
To the Editors: I found the recent article on the monitoring of therapy in patients taking levothyroxine to have significant practical merit (1). The authors state that a full dose of levothyroxine can be given to younger patients although older patients and those with heart disease should be started more slowly. I believe that it should also be noted that patients with asthma should be started more slowly.
In my experience, as well as that of others, there seems to be a relation between the thyroid state and the severity of asthma (2, 3). Hypothyroidism seems to improve the clinical
Rowe MS. Thyroid Hormones and Asthma. Ann Intern Med. ;114:97. doi: 10.7326/0003-4819-114-1-97_1
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Published: Ann Intern Med. 1991;114(1):97.
Asthma, Pulmonary/Critical Care.
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