Euthyroid sick syndrome laboratory findings: Difference between revisions
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==Overview== | ==Overview== | ||
[[Laboratory]] findings consistent with the [[diagnosis]] of [[euthyroid]] sick syndrome include low [[T3]], increased [[reverse T3]] and variable proportions of [[T4]] depending upon the severity of the [[disease]]. Patients having reduced concentration of [[T4]] suggests progression of the underlying nonthyroidal [[illness]]. Complete [[thyroid]] function test should be done which includes [[TSH]], [[free T3]], [[total T3]], [[reverse T3]], [[free T4]], and [[total T4]].<ref name="pmid19007679">{{cite journal |vauthors=Golombek SG |title=Nonthyroidal illness syndrome and euthyroid sick syndrome in intensive care patients |journal=Semin. Perinatol. |volume=32 |issue=6 |pages=413–8 |year=2008 |pmid=19007679 |doi=10.1053/j.semperi.2008.09.010 |url=}}</ref> | [[Laboratory]] findings consistent with the [[diagnosis]] of [[euthyroid]] sick syndrome include low [[T3]], increased [[reverse T3]] and variable proportions of [[T4]] depending upon the severity of the [[disease]]. Patients having reduced concentration of [[T4]] suggests progression of the underlying nonthyroidal [[illness]]. Complete [[thyroid]] function test should be done which includes [[TSH]], [[free T3]], [[total T3]], [[reverse T3]], [[free T4]], and [[total T4]].<ref name="pmid19007679">{{cite journal |vauthors=Golombek SG |title=Nonthyroidal illness syndrome and euthyroid sick syndrome in intensive care patients |journal=Semin. Perinatol. |volume=32 |issue=6 |pages=413–8 |year=2008 |pmid=19007679 |doi=10.1053/j.semperi.2008.09.010 |url=}}</ref><ref name="pmid27403906">{{cite journal |vauthors=Frączek MM, Gackowski A, Przybylik-Mazurek E, Nessler J |title=[The relation between the low T3 syndrome in the clinical course of myocardial infarction and heart failure] |language=Polish |journal=Pol. Merkur. Lekarski |volume=40 |issue=240 |pages=380–3 |year=2016 |pmid=27403906 |doi= |url=}}</ref><ref name="pmid24845024">{{cite journal |vauthors=Van den Berghe G |title=Non-thyroidal illness in the ICU: a syndrome with different faces |journal=Thyroid |volume=24 |issue=10 |pages=1456–65 |year=2014 |pmid=24845024 |pmc=4195234 |doi=10.1089/thy.2014.0201 |url=}}</ref><ref name="pmid23214076">{{cite journal |vauthors=Murakami M |title=[Nonthyroidal illness (NTI)] |language=Japanese |journal=Nippon Rinsho |volume=70 |issue=11 |pages=2005–10 |year=2012 |pmid=23214076 |doi= |url=}}</ref> | ||
==Laboratory Findings== | ==Laboratory Findings== | ||
Revision as of 18:01, 8 August 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Laboratory findings consistent with the diagnosis of euthyroid sick syndrome include low T3, increased reverse T3 and variable proportions of T4 depending upon the severity of the disease. Patients having reduced concentration of T4 suggests progression of the underlying nonthyroidal illness. Complete thyroid function test should be done which includes TSH, free T3, total T3, reverse T3, free T4, and total T4.[1][2][3][4]
Laboratory Findings
Laboratory findings consistent with the diagnosis of euthyroid sick syndrome include:
| Euthyroid sick syndrome | Laboratory test |
|---|---|
| Mild euthyroid sick syndrome |
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| Moderate euthyroid sick syndrome |
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| Severe euthyroid sick syndrome |
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References
- ↑ Golombek SG (2008). "Nonthyroidal illness syndrome and euthyroid sick syndrome in intensive care patients". Semin. Perinatol. 32 (6): 413–8. doi:10.1053/j.semperi.2008.09.010. PMID 19007679.
- ↑ Frączek MM, Gackowski A, Przybylik-Mazurek E, Nessler J (2016). "[The relation between the low T3 syndrome in the clinical course of myocardial infarction and heart failure]". Pol. Merkur. Lekarski (in Polish). 40 (240): 380–3. PMID 27403906.
- ↑ Van den Berghe G (2014). "Non-thyroidal illness in the ICU: a syndrome with different faces". Thyroid. 24 (10): 1456–65. doi:10.1089/thy.2014.0201. PMC 4195234. PMID 24845024.
- ↑ Murakami M (2012). "[Nonthyroidal illness (NTI)]". Nippon Rinsho (in Japanese). 70 (11): 2005–10. PMID 23214076.