TABLE 2

Differential diagnosis of low thyroid-stimulating hormone level

Endogenous thyrotoxicosis due to single or multiple autonomously functioning or hot nodules and Graves disease
Thyroiditis, in which preformed hormone is released from an inflamed thyroid
Hypothalamic or pituitary disease (central hypothyroidism), resulting in low production of thyroid-stimulating hormone
Euthyroid sick syndrome (nonthyroidal illness)
Medication effects from glucocorticoids, exogenous thyroid hormone, lithium, amiodarone, and interferon