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Pediatric Endocrinology (Expert Forum)
9 yr old, low testosterone, high prolactin, now high ANA
Answered by
Deanna L Aftab Guy, MD - Short Stature, thyroid, Pituitary abnormalit, Puberty concerns, Rapid Growth, Adrenal problems, Parathyroid abnormal, Rickets and bone dis
Vanderbilt Children’s Hospital
Nashville - TN
Questions in the Pediatric Endocrinology forum are answered by Dr. Deanna L Aftab Guy, affiliated with Vanderbilt Children's Hospital. Topics covered include adrenal problems, diabetes insipidus, menstrual irregularities, obesity, parathyroid abnormalities, pituitary abnormalities, puberty concerns, rapid growth, rickets and bone disease, short stature, and thyroid.
9 yr old, low testosterone, high prolactin, now high ANA
by boymom4, Nov 20, 2007 09:22AM
I had some more labs drawn on my son, some were repeats. The results of the out of normal are as following:
Testosterone 31.98 (norm 205-781)
Testosterone Free cal 0.29 (norm .95-4.39)
Prolactin 20.55 (norm 2.64-13.13)
Lutenizing Hormone less than .20 (norm 1.24-8.62)
ANA screen 137 (norm is less than 100...anything over 120 is considered "positive")
ILGF-1 less than 25 (norm 74-388)
We live in Nashville. My Nurse Practioner's office called the Vanderbilt Ped. Endocrinlogy office to make an appointment for my son (age 9), and we were told it would be May. She feels we should have this thoroughly evaluated by an endocrinologist. Do you maintain we are over reacting (based on your first response to my original post)? I've also shared these results with our Family Practioner, who also said my son should be evaluated. Do these newest lab results change your opinion? Does the positive ANA add any other meaning to the picture?
Thanks.
Testosterone 31.98 (norm 205-781)
Testosterone Free cal 0.29 (norm .95-4.39)
Prolactin 20.55 (norm 2.64-13.13)
Lutenizing Hormone less than .20 (norm 1.24-8.62)
ANA screen 137 (norm is less than 100...anything over 120 is considered "positive")
ILGF-1 less than 25 (norm 74-388)
We live in Nashville. My Nurse Practioner's office called the Vanderbilt Ped. Endocrinlogy office to make an appointment for my son (age 9), and we were told it would be May. She feels we should have this thoroughly evaluated by an endocrinologist. Do you maintain we are over reacting (based on your first response to my original post)? I've also shared these results with our Family Practioner, who also said my son should be evaluated. Do these newest lab results change your opinion? Does the positive ANA add any other meaning to the picture?
Thanks.
Doctor's Answer
by Deanna L Aftab Guy, MD, Nov 20, 2007 11:56AM
, Nov 20, 2007 11:56AMTo: boymom4
ironically you live right near my practice, I know we have a long wait but May is insane, have the NP call our office and discuss the concern with the on call doc. You are not overreacting, I would like to see what the thyroid is including thyroid antibodies as ANA cross react with thyroid.
So have the NP call our office and ask to speak with the on call doc and see what they can do.
funny you are so close by!
So have the NP call our office and ask to speak with the on call doc and see what they can do.
funny you are so close by!
