Postpartum thyroiditis laboratory findings: Difference between revisions
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==Laboratory Findings== | ==Laboratory Findings== | ||
*Laboratory findings consistent with the diagnosis of PPT depend on the phase of disease and include: | *Laboratory findings consistent with the diagnosis of PPT depend on the phase of disease and include: | ||
*Some patients with PPT may have elevated concentration of Serum Anti-TPO abs, which is usually suggestive of future hypothyroidism. | *Some patients with PPT may have elevated concentration of Serum Anti-TPO abs, which is usually suggestive of future hypothyroidism. | ||
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!Hyperthyroid phase | !Hyperthyroid phase | ||
!Hypothyroid phase | !Hypothyroid phase | ||
|- | |- | ||
| | |Serum TSH | ||
| | |less than 3.5 | ||
| | |more than 3.5 | ||
|- | |- | ||
| | |Serum free T4 | ||
| | |elevated but may be normal | ||
| | |decreased | ||
|- | |- | ||
| | |Serum free T3 | ||
| | |elevated or normal | ||
| | |decreased | ||
| | |- | ||
|Serum Anti-TPO anitbodies | |||
|postive | |||
|postive | |||
|- | |||
|Serum TSH-receptor abs | |||
|negative or positive with coexisting [[Grave's disease]] | |||
|negative | |||
|- | |||
|Serum ESR | |||
|normal | |||
|normal | |||
|- | |||
|Serum thyroglobulin Tg | |||
|elevated in early phase of destruction of follicles | |||
|elevated in early phase of destruction of follicles | |||
|- | |||
|Radio-iodine uptake | |||
|decreased | |||
|decreased | |||
|} | |} | ||
Revision as of 16:51, 11 October 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sunny Kumar MD [2]
Overview
Laboratory Findings
- Laboratory findings consistent with the diagnosis of PPT depend on the phase of disease and include:
- Some patients with PPT may have elevated concentration of Serum Anti-TPO abs, which is usually suggestive of future hypothyroidism.
lab values | Hyperthyroid phase | Hypothyroid phase |
---|---|---|
Serum TSH | less than 3.5 | more than 3.5 |
Serum free T4 | elevated but may be normal | decreased |
Serum free T3 | elevated or normal | decreased |
Serum Anti-TPO anitbodies | postive | postive |
Serum TSH-receptor abs | negative or positive with coexisting Grave's disease | negative |
Serum ESR | normal | normal |
Serum thyroglobulin Tg | elevated in early phase of destruction of follicles | elevated in early phase of destruction of follicles |
Radio-iodine uptake | decreased | decreased |