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Thyroid out of range in 9 year old
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida Sarasota - FL
Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.

Thyroid out of range in 9 year old

by larrysdaughter, Jun 27, 2009 12:59PM
Hi,
My nine year old son is 4'8'' and 127lbs and has been suffering with depression and extreme fatigue and muscle and joint pain. Just 4 months ago he weighed 96lbs that is a 31lbs weight gain without a gain in height. He has been hospitalized twice in the past 4 months for suicidal threats with a plan. I just received a copy of the blood work from the hospitalizations and was shocked to find the Thyroid was out of range. However I don’t know what the pediatric reference range for Thyroid is. Could you please give me the pediatric reference range is for these thyroid tests, T-Uptake, T-4, and TSH?

On Feb 17, 09 test results were as follows,

T-Uptake……. 37        
T-4…………..3.4 L
TSH………….1.23

On May 1, 09 test results were as fallows,
      
T-4…………..5.2 L
TSH………….1.41

My son has an appointment with his pediatrician on Monday and I am bringing the complete lab reports with us to his appointment. I am asking that he refer him to a Pediatric Endocrinologist.

I need to be accurately informed so thank you in advance for your help.



by Mark Lupo, M.D., Jun 28, 2009 09:13AM
The reference range varies from lab to lab.  Most labs report an age specific reference range when giving results.  It should be on the reports.

Would retest T4 as "free T4" - if still low, then would need to see an endocrinologist.  If only the total T4 is low, then it may be low binding proteins (which are not a problem usually and do not require treatment).
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