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