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Avatar universal

hasimotos?

I have been given the run around by rheumatologists and endos so need help please,recent lab work  show:
TSH:  4.28( doubled from last one)
FREE T4: 1.07( down from last one)
ANA SPECKLED PATTERN POSITVE:1:160
THYROID ANTIBODIES:136( up from last)
HIGH CHOLESTEROL: 248
low white blood counts dropping everytime with increased red cells. my question is could hashimotos cause ana positive or is my thyroid shutting down because of maybe lupus? no skin rashes but itchy and my face does get red when it is touched, swollen under eyes, high normal gamma globins as well.
Tags: hashimots or other autoimmune disease
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Avatar universal
i forgot to say thank you'actually you have given more info clearly than any doctor :)
Helpful - 0
Avatar universal
t4 the thyroxine he says isnt accurate.that was6.6 with a range of 4.9-11.0

he says free t4 and tsh gives a better picture..
the free t4 ( free not the total t4) is 1.07 with the range of .80-1.80.
he says im fine because i have enough t4. i have itchy skin.puffy face and undereye. im not gaining any weight but im small to begin with size 0. he says i could be autoimmune but not to worry till i shut down totally. i feel horrible physically and emotionally very unlike me.
Helpful - 0
649848 tn?1534633700
COMMUNITY LEADER
Your doctor didn't check what level since July?  Please explain what isn't a true test, with result of 6.1.

What was the reference range for the FT4?

A positive ANA can be present with Hashimoto's.

Normally, if you have pituitary issue, TSH will be lower, because the pituitary won't recognize the need for more thyroid hormones.

From what I'm seeing you have Hashimoto's and should probably be on thyroid replacement hormones to alleviate your symptoms.
Helpful - 0
Avatar universal
hi, my doctor did not check my level  since july as he said it wasn't a true test at that time it was 6.1, and my TSH back then was 3.2.
I had 2 tests one for
THYROGLOBIN AB: 34(range was 0-40)
THYROGLOBIN MICROSOMAL AB: 136 (range was 0-35) this went up 10 from last time.
i wondered about lupus because of the speckled ana result. in also had all 4 globins checked back in july they were high normal.
my other concern was i read that a tsh could be high if you may have a pituitary problem, my fsh and lh hormones are very low.i just cant get a doctor to put everything together for me.
Helpful - 0
649848 tn?1534633700
COMMUNITY LEADER
Your TSH is too high, even though the lab report might show it as normal.  Many/most labs are using outdated reference ranges for TSH.

What's the reference range for the Free T4?  Ranges vary lab to lab and have to come from your own report.

Which thyroid antibody test did you have?  There are 2 of them that are markers for Hashimoto's.  They are Thyroid Peroxidase Antibodies (TPOab) and Thyroglobulin Antibodies (TGab).  You need to have them both.

At any rate, everything we're seeing here, including symptoms indicate Hashimoto's.  Your thyroid could shut down because of lupus; but it would, most likely, shut down because of Hashimoto's, which is an autoimmune disease in which the body sees the thyroid as foreign so produces specific antibodies (those mentioned above) to destroy it.

Have you been diagnosed with lupus?  Lupus is also an autoimmune disease, which attacks the entire body.  The connection between Hashimoto's and Lupus is that they are both autoimmune and once a person has one autoimmune, the chances of getting another are much greater.  
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