After treatment for 22 weeks, the patient, with typical clinical features of myxedema, was referred to our outpatient clinic with undetectable serum levels of T4(<1.0 μg/dL) and T3(<25 ng/dL) and a markedly elevated TSH level (217 μU/mL). The serum thyroglobulin concentration was also...
Severe hypothyroidism in an 8 year-old girl was associated with a paradoxically high free thyroxine (T4), a high TSH level and antimicrosomal antibodies suggestive of Hashimoto's thyroiditis. Low radiolabelled T3 binding to resin in the standard T3 resin uptake test suggested thyroid hormone bindin...
Endocrine tests showed an elevated PRL level and hypothyroidism (Table 1). Repeated serum immune tests yielded negative results for ANAs, MPO-ANCAs and PR3-ANCAs. Enhanced MRI revealed pituitary enlargement with stalk compression and chiasmal thickening (Fig. 4a), indicating recurrent lymphocytic ...
(1) An association with hypothyroidism, however, has not been demonstrated. Clinical Case: A 56-year old woman with chronic pain syndrome on opioids presented from a nursing home with decreased level of consciousness and was found to be hypotensive requiring ICU admission. Several weeks prior to...
severe hypothyroidism with a thyroid-stimulating hormone (TSH) of > 100 mlU/L, free T4 of 1.3 pmol/l (normal range 9-24), and mild anemia (hemoglobin of 10.1 g/dL). Anti-thyroid peroxidase antibodies (anti-TPO) and thyrotropin receptor antibodies (TSH rec...
Common (1% to 10%): Decreased free T4, decreased total T3, decreased total T4, elevations in serum prolactin, hyperprolactinemia, increased TSH Uncommon (0.1% to 1%): Decreased free T3, hypothyroidism Very rare (less than 0.01%): SIADH[Ref]In...
(250–300 ml/day) Hypothyroidism High TSH and low freeT4 Disorders of cal- Decreased calcium, vitamin D levels, cium metabolism recurrent spontaneous fractures Gastrointestinal syndrome Vomiting, diarrhea, glossitis, rectal pro- lapse, hematochezia, malabsorption syndrome, duodenitis with intestinal lymph...
Very common (10% or more): Decreased TSH (up to 60%), hypothyroidism (up to 53%), decreased total T4 (up to 45%) Common (1% to 10%): Thyroid disorder, altered hormone level Uncommon (0.1% to 1%): Hyperthyroidism Frequency not reported: Hyperglycemia, decreased libido, increased and ...
PCI = percutaneous coronary intervention; rT3 = reverse triiodothyronine; SCHyper = subclinical hyperthyroidism; SCHypo = subclinical hypothyroidism; TGAB = thyroglobulin antibody; TPOAB = thyroid peroxidase antibody; TT3 = total triiodothyronine; TT4 = total thyroxine; TSH = thyroid-stimulating hormone;...
Cardiac function was evaluated in 20 patients requiring TSH suppression for either thyroid goiter or following thyroidectomy and radioactive iodine therapy forthyroid cancerand in 20 age and sex-matched controls. TSH suppression was associated with an increased incidence of premature ventricular beats, an...