Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Pediatric Endocrinology (Expert Forum)
A follow-up on Newborn Low normal T4 High TSH
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.
A follow-up on Newborn Low normal T4 High TSH
by ttyy, Dec 07, 2008 04:26PM
Dear Dr Guy, Your prompt reply was very much appreciated. I know I shouldn't have sent you an urgent message and I appreciate the time you have given. But the whole world is not the developed west. And you might want to consider some people on this planet living on the other side of the world who can get no more than 1 minute with the espcialist who only saw the results and hands were ready to prescribe that was it and no room for any kind of discussion. Therefore the urgency came out to reach you.
I followed my instincts and education. I repeated today the baby's test right after sending you the 1st msg in another lab. The results were T4 = 9.88 ug/dl (lab adults 4.5-12.40, newborns 6.5-27) and TSH = 17.5 uIU/ml (lab adults 0.49-4.7, newborns: up to 20 ). While yesterday's results from the 1st lab were, I repeat, T4 = 7.4 (lab 7-14) TSH = 28.5 (0.5-6).
Had I given the medication it would have interfered the 2nd test results. Therefore I think I did the rirght thing consulted you and repeated before any medication given the tests.
The 2nd lab told me the results were fine, I would be grateful to hear your opinion.
Many many many thanks and sorry for troubling you 1st time. This time no urgency. Happy xmas and new year in advance Dear Deanna. I really appreciated your prompt reply.
I followed my instincts and education. I repeated today the baby's test right after sending you the 1st msg in another lab. The results were T4 = 9.88 ug/dl (lab adults 4.5-12.40, newborns 6.5-27) and TSH = 17.5 uIU/ml (lab adults 0.49-4.7, newborns: up to 20 ). While yesterday's results from the 1st lab were, I repeat, T4 = 7.4 (lab 7-14) TSH = 28.5 (0.5-6).
Had I given the medication it would have interfered the 2nd test results. Therefore I think I did the rirght thing consulted you and repeated before any medication given the tests.
The 2nd lab told me the results were fine, I would be grateful to hear your opinion.
Many many many thanks and sorry for troubling you 1st time. This time no urgency. Happy xmas and new year in advance Dear Deanna. I really appreciated your prompt reply.
Doctor's Answer
by Deanna L Aftab Guy, MD, Dec 16, 2008 10:34PM
, Dec 16, 2008 10:34PMTo: ttyy
where are you located and do you have access to a peds endo-remind me the age of the child again and tsh is indeed improving, free T4 is preferred to evaluate blood levels along with tsh.
Member Comments (1)
by tnrxsls, Oct 22, 2009 09:42AM
A related discussion, Child w/ BWS who recently had elevated TSH, normal Free T4 was started.
