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Interpreting results
Hi, these are my cousins results who I posted about recently - any comments regarding treatment etc would be appreciated..
Diagnosis: Graves’ disease, Vitamin D deficiency
Investigations: TSH receptor antibody significantly elevated at 12.5IU/L (0-1.5), TSH <0.01, fT3 33, fT4 92, Vitamin D 61nmol/L.
Ultrasound thyroid was a little enlarged with the right lobe measuring 49 x 15 x 17mm, left lobe 49 x 14.19mm. It had mild nodularity and the Doppler showed diffuse increase in vascularity with no lymphadenopathy.
xxxxxx has noticed worsening problems with her eyes. They are painful, sore, ache, dry and are gritty. She found it difficult to drive.
Her investigations are consistent with Graves’ disease. There are no significant thyroid eye signs but the symptoms are such that I would like her to see Professor Chris Hammond, Consultant Eye Surgeon who has an interest in thyroid eye disease. In the interim I have advised her to continue on Propranolol SR 80mg daily, Carbimazole 20mg twice daily and I would be grateful if you could add in Desunin (Vitamin D3) three capsules daily.
Diagnosis: Graves’ disease, Vitamin D deficiency
Investigations: TSH receptor antibody significantly elevated at 12.5IU/L (0-1.5), TSH <0.01, fT3 33, fT4 92, Vitamin D 61nmol/L.
Ultrasound thyroid was a little enlarged with the right lobe measuring 49 x 15 x 17mm, left lobe 49 x 14.19mm. It had mild nodularity and the Doppler showed diffuse increase in vascularity with no lymphadenopathy.
xxxxxx has noticed worsening problems with her eyes. They are painful, sore, ache, dry and are gritty. She found it difficult to drive.
Her investigations are consistent with Graves’ disease. There are no significant thyroid eye signs but the symptoms are such that I would like her to see Professor Chris Hammond, Consultant Eye Surgeon who has an interest in thyroid eye disease. In the interim I have advised her to continue on Propranolol SR 80mg daily, Carbimazole 20mg twice daily and I would be grateful if you could add in Desunin (Vitamin D3) three capsules daily.
Can you call the lab or the doctor and ask for ranges? FT3 and FT4 both look extremely high with the ranges we typically see, so I wouldn't be able to comment without seeing the range.
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