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Pediatric Endocrinology (Expert Forum)
MEDICATION
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.
MEDICATION
by sachin5, Jan 26, 2009 02:14PM
My Daughter aged 11 years had a swell on her neck. She was examined by the doctor and prescribed her for T3, T4 and TSH test. The same test were carried out and Thyroid profile reveals her TSH level elevated to 62.9 micro I.U./ml and T4 4.12 mcg/dl.
Doctor further suggested carrying out USG-neck and TMA test. The results are as under:
1) TMA test was positive with a value of 680.
2) Her USG -neck (thyroid) result:
start”+ Rt. Lobe- Enlarged (3.8 * 1.2* 1.6 cm) size with low echogenicity. No focal lesion.
+ Lt. Lobe- Enlarged (3.7*1.3*1.6 cm) size with low echogenicity. No focal lesion.
+ Isthmus- mildly enlarged (5 mm) with low echogenicity. No focal lesion.
Generalised thyroid Enlargement with low echogenicity . (?? Inflammatory changes) “end.
After the above test, doctor prescribed her to start taking Thyronorm-50 (Synthetic hormone-thyroxine) on daily basis. As told, dosage will be adjusted, if required, after another test after 6-8 weeks of medication.
She was again tested after nearly 5 weeks of medication as per doctor’s advice. Latest Lab Result is as under:
T3: 1.93 ng/ml (earlier it was 0.588 before medication), Free T4: 1.81 ng/dl and TSH: 0.164 micro I.U/ml (earlier it was 62.9 micro I.U./ml) .
Based on above, doctor suggested her to reduce dose of medication to Thyronorm 25 (from 50-i.e reduced by 50%). I was told to carry out another Lab after 6 weeks. I was also told that, if her TSH level remains same she can stop taking medicines, but follow up test has to be done.
I would like to know that, whether she can stop taking medicine as only after 34 days of medication her TSH level reduced from 62.9 to 0.16 or we need to wait for another lab considering reduced dose.
Doctor further suggested carrying out USG-neck and TMA test. The results are as under:
1) TMA test was positive with a value of 680.
2) Her USG -neck (thyroid) result:
start”+ Rt. Lobe- Enlarged (3.8 * 1.2* 1.6 cm) size with low echogenicity. No focal lesion.
+ Lt. Lobe- Enlarged (3.7*1.3*1.6 cm) size with low echogenicity. No focal lesion.
+ Isthmus- mildly enlarged (5 mm) with low echogenicity. No focal lesion.
Generalised thyroid Enlargement with low echogenicity . (?? Inflammatory changes) “end.
After the above test, doctor prescribed her to start taking Thyronorm-50 (Synthetic hormone-thyroxine) on daily basis. As told, dosage will be adjusted, if required, after another test after 6-8 weeks of medication.
She was again tested after nearly 5 weeks of medication as per doctor’s advice. Latest Lab Result is as under:
T3: 1.93 ng/ml (earlier it was 0.588 before medication), Free T4: 1.81 ng/dl and TSH: 0.164 micro I.U/ml (earlier it was 62.9 micro I.U./ml) .
Based on above, doctor suggested her to reduce dose of medication to Thyronorm 25 (from 50-i.e reduced by 50%). I was told to carry out another Lab after 6 weeks. I was also told that, if her TSH level remains same she can stop taking medicines, but follow up test has to be done.
I would like to know that, whether she can stop taking medicine as only after 34 days of medication her TSH level reduced from 62.9 to 0.16 or we need to wait for another lab considering reduced dose.
Member Comments
by zahus, Oct 27, 2009 05:06AM
A related discussion, biting teeth was started.
