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The TTSI is used as a screening parameter for resistance to thyroid hormone due to mutations in the THRB gene, where it is elevated. [4] It is also beneficial for assessing the severity of already confirmed thyroid hormone resistance, [ 6 ] even on replacement therapy with L-T4, [ 7 ] and for monitoring the pituitary response to substitution ...
The syndrome can present with variable symptoms, even between members of the same family harboring the same mutation. [1] Typically most or all tissues are resistant to thyroid hormone, so despite raised measures of serum thyroid hormone the individual may appear euthyroid (have no symptoms of over- or underactivity of the thyroid gland).
Thyroid function tests (TFTs) is a collective term for blood tests used to check the function of the thyroid. [1] TFTs may be requested if a patient is thought to suffer from hyperthyroidism (overactive thyroid) or hypothyroidism (underactive thyroid), or to monitor the effectiveness of either thyroid-suppression or hormone replacement therapy.
Free T4 and total T3 can be measured when hyperthyroidism is of high suspicion as it will improve the accuracy of the diagnosis. Free T4, total T3 or both are elevated and serum TSH is below normal in hyperthyroidism. If the hyperthyroidism is mild, only serum T3 may be elevated and serum TSH can be low or may not be detected in the blood. [14]
TSH is the preferred initial test of thyroid function as it has a higher sensitivity to changes in thyroid status than free T4. [61] Time of day can affect the results of this test; TSH peaks early in the morning and slumps in the late afternoon to early evening, [62] with "a variation in TSH by a mean of between 0.95 mIU/mL to 2.0 mIU/mL". [63]
Jostel's TSH index (TSHI or JTI), also referred to as Jostel's thyrotropin index or Thyroid Function index (TFI), is a method for estimating the thyrotropic (i.e. thyroid stimulating) function of the anterior pituitary lobe in a quantitative way.
Hyperthyroidism in Graves' disease is confirmed, as with any other cause of hyperthyroidism, by measuring elevated blood levels of free (unbound) T3 and T4. [ citation needed ] Other useful laboratory measurements in Graves disease include thyroid-stimulating hormone (TSH, usually undetectable in Graves disease due to negative feedback from the ...
The first trimester normal range is below 2.5 mIU/L and the second and third trimesters normal range is below 3.0 mIU/L. [15] [43] Treatment should be guided by total (rather than free) thyroxine or by the free T 4 index. Similarly to TSH, the thyroxine results should be interpreted according to the appropriate reference range for that stage of ...