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. 2017 Mar 23;1(5):431–435. doi: 10.1210/js.2017-00054

Table 2.

Summary of Reported Cases of Biotin Interference in Thyroid Function Tests

Reference Age Daily Biotin Dose Thyroid Function Tests on Biotin
Assay Method(s) Consequences Thyroid Function Tests After Discontinuing Biotina
TSH, mIU/L fT4, pmol/L fT3, pmol/L Anti-TSH Receptor Ab, IU/L TSH, mIU/L fT4, pmol/L fT3, pmol/L Anti-TSH Receptor Ab, IU/L
Elston et al. (5) 3 d 10 mg 38.4 77 ND ND Boehringer Mannheim ES700 Delay in treating hypothyroidism 140, >209 16.3, 11 ND ND
Elston et al. (5) 3 y 40 mg 0.62 15.5 4.5 ND Roche Cobas e601 None 3.96 75.9 14 ND
Wijeratne et al. (4) 1 wk 30 mg 3.75 >77.7 24.9 ND Beckman DxI None N N N ND
Barbesino (1) 55 y 300 mg 0.02 >100.4 ND 36 Elecsys, Roche 123I thyroid scan 0.78 18 ND <1.75
Elston et al. (5) 63 y 300 mg 0.02 >100, 69 11.6 >40 Roche & Beckman None 1.93, 1.9 14, 17 4.4 2.3
Kummer et al. (6) 9 y 10 mg/kg 0.05 80.3 ND 38.6 NR None 1.8 20.3 ND <0.3
Kummer et al. (6) 2 y 14 mg/kg 0.02 >100 ND >40 NR Antithyroid drugs 3.75 21.9 ND ND
Kummer et al. (6) 2 y 15 mg/kg 0.04 >100 ND >40 NR Antithyroid drugs 6.07 14.9 ND 0.7
Kummer et al. (6) 5 mo 2 mg/kg 0.02 >100 ND >40 NR None 2.2 14.5 ND 1
Kummer et al. (6) 1 mo 7 mg/kg 0.08 >100 ND >40 NR None 8.12 23.7 ND 0.4
Kummer et al. (6) 1 mo 8 mg/kg 0.03 >100 ND >40 NR Antithyroid drugs 2.87 24.6 ND <0.3
Trambas et al. (3) NR 300 mg 0.02 >100 17.3 ND NR NR 1.3 11.3 4.5 ND
Simó-Guerrero et al. (8) 38 y 300 mg 0.07 50.1 ND ND Roche, Modular E170 None 2.34 13.3 ND ND
Bülow Pedersen et al. (9) 4 d 5 mg 0.1 ND ND ND NR None 4.3 ND ND Negative
Minkovsky et al. (10) 74 y 300 mg 0.02 >100.4 ND ND Roche 123I thyroid scan 4.54 19.3, 21.9 ND ND

Abbreviations: fT3, free triiodothyronine; ND, not done; NR, not reported.

a

Results of thyroid functions tests after using a different assay are in bold.