Just got TPO back at 2100...

[dropdead99]

Hi, I had some shortness of breath over a few days, went to the ER, they drew a bunch of tests, most of which were negative.  Here are some of the positive ones:

TSH 0.26 (low)
free T3 and T4 normal
TPO 2100 !!!
ESR and CRP were normal

It looks like I'm hyperthyroid by the TSH, but the free T3 and T4 were normal.  And TPO is very very high.  I'm looking for more info on the internet but can't make sense of it.  What does this mean?  Do I have Graves?  Or the first manifestations of Hashimoto's where I have transient hyperthyroidism to be followed by hypothyroidism later on?  Or none of the above??  I'm pretty confused.  (Also, as far as symptoms, I've had some weight loss and only one bout of diarrhea in the last few years, which happened a couple of weeks ago, followed by the shortness of breath that prompted my trip to the ER.  Nothing much else so far.)


This discussion is related to Thyroid Peroxidase Ab.

[Smilerdeb]

The best test to rule out Graves is the TSI test.
If this test is above range then you have Graves.

[goolarra]

What were the actual results of your FT3 and FT4 and their reference ranges?  Reference ranges for these are specific to your lab and have to be taken from your own lab report.

You're right, elevated TPOab can indicate either Grave's or Hashi's.  Did they do any other antibody tests?  TGab or TRab?

Have you googled lists of symptoms of both hyper and hypo?  You might be able to narrow this down by getting a complete list of your symptoms.

If you post FT3 and FT4, we can comment further.

[gimel]

BUMP