Property | Value |
Name | A Case of pre operative euthyroid sick syndrome in a mal nourished woman |
Description | Case report:-Biochemistry *Renu Nagar *Department of Biochemistry, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Himanchal Pradesh India.
Abstract:- A previously euthyroid, 55 years old malnourished woman admitted for elective surgery for multiple renal stones was found to have low T3 (60 ng/dl), low T4 (1.76 µg/dl), low TSH (0.144 mIU/ml) and moderately increased anti-TPO antibodies (179.0 IU/ml). Patient was clinically euthyroid, had no history of Thyroid illness, nor any symptoms or signs of Pituitary or Hypothalamic disorder. Thyroid biopsy showed degenerative changes. It was decided to defer her surgery till normalization of Thyroid profile. She was discharged from hospital with Thyroid hormone replacement. The patient’s T3 and T4 improved with Thyroxine, but TSH dropped further. Keywords:- Euthyroid sick syndrome; Non thyroidal illness; Renal stones, Pre operative; Stress; T3, T4,ESS, NIT, anti-TPO.
References:- 1.Kelly, NDG. Peripheral Metabolism of Thyroid Hormones: A Review . Altern Med Rev 2001; 5: 306-33. 2.Dayan CM. Interpretation of thyroid function tests . Lancet 2001; 357: 619–24. 3.Tandon N. Laboratory diagnosis of Thyroid disease: pitfalls. Capenews, 1997; 2. 4.Mastorakos G, Pavlatou M, Kandarakis ED, Chrousos GP. Exercise and the 5.Stress System, Hormones. 2005; 4: 73-89. 6.Gou DY, Su W, Shao YC, Lu YL. Euthyroid sick syndrome in trauma patients with severe inflammatory response syndrome. Clin J Traumatol 2006; 9: 115-7. 7.Reinhardt W, Mann K. Non-thyroid illness or changed thyroid hormone parameter syndrome with non-thyroid illnesses. Med Klin 1998; 93: 662-8. 8.Stathatos N, Wartofsky L. Perioperative management of patients with hypothyroidism. Endocrinol Metab Clin N Am 2003; 32: 503–18. 9.Girvent M, Maestro S, Hernández R, Carajol I, Monné J, Sancho JJ, Gubern JM, Sitges-Serra A. Euthyroid sick syndrome, associated endocrine abnormalities, and outcome in elderly patients undergoing emergency operation. Surgery 1998;123: 560-7. 10.Engler H, Riesen WF, Keller B. Anti-thyroid peroxidase (anti-TPO) antibodies in thyroid diseases, non-thyroidal illness and controls. Clinical validity of a new commercial method for detection of anti-TPO (thyroid microsomal) autoantibodies. Clin Chim Acta 1994; 225: 123-36. 11.McIver B, Gorman CA. Euthyroid sick syndrome: an overview. Thyroid. 1997; 7(1):125-32.
Copyright © 2013 Nagar Renu. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
|
Filename | Nagar Renu(357-359).pdf |
Filesize | 153.57 kB |
Filetype | pdf (Mime Type: application/pdf) |
Creator | admin |
Created On: | 01/05/2013 00:00 |
Viewers | Everybody |
Maintained by | Editor |
Hits | 2898 Hits |
Last updated on | 01/15/2013 11:44 |
Homepage | |
CRC Checksum | |
MD5 Checksum |