Comparison of a new ultrafiltration method for serum free T4 and free T3 with two RIA kits in eight groups of patients

1985 ◽  
Vol 8 (6) ◽  
pp. 495-500 ◽  
Author(s):  
Yuh-Shyun Wang ◽  
A. E. Pekary ◽  
M. L. England ◽  
Jerome M. Hershman
Keyword(s):  
Free T4 ◽  
Serum Free ◽  
Free T3

scholarly journals Diverse Genotypes and Phenotypes of Three Novel Thyroid Hormone Receptor-α Mutations

2016 ◽  
Vol 101 (8) ◽  
pp. 2945-2954 ◽  
Author(s):  
Korcan Demir ◽  
Anja L. M. van Gucht ◽  
Muammer Büyükinan ◽  
Gönül Çatlı ◽  
Yavuz Ayhan ◽  
...  
Keyword(s):  
Thyroid Hormone ◽  
Motor Development ◽  
Thyroid Hormone Receptor ◽  
Clinical Phenotype ◽  
Case Series ◽  
Detailed Knowledge ◽  
Thyroid Function Tests ◽  
Free T4 ◽  
Serum Free ◽  
Free T3

Context: Recently several patients with resistance to thyroid hormone (RTH)-α due to T3 receptor-α (TRα) mutations were identified. The phenotype of these patients consists of varying degrees of growth impairment, delayed bone, mental and motor development, constipation, macrocephaly, and near-normal thyroid function tests. Objective: The objective of the study was to describe the clinical phenotype of three new families with RTHα and thereby gain more detailed knowledge on this novel syndrome. Design, Setting, and Participants: RTHα was suspected in three index patients from different families. Detailed clinical and biochemical assessment and imaging and genetic analyses were performed in the patients and their relatives. In addition, functional consequences of TRα mutations were investigated in vitro. Results: We studied 22 individuals from three families and identified 10 patients with heterozygous TRα mutations: C380fs387X, R384H, and A263S, respectively. The frame-shift mutation completely inactivated TRα, whereas the missense mutations produced milder defects. These mutations were associated with decreasing severity of the clinical phenotype: the patient in family 1 showed severe defects in growth, mental, and motor development, whereas the seven patients in family 3 had only mild clinical features. The most frequent abnormalities were anemia, constipation, and a delay in at least one of the developmental milestones. Serum free T3 ranged from high-normal to high and serum free T4 and rT3 from normal to low. TSH levels were normal in all patients. Conclusions: This large case series underlines the variation in the clinical phenotype of RTHα patients. RTHα should be suspected in subjects when even mild clinical and laboratory features of hypothyroidism are present along with high/high-normal free T3, low/normal free T4, and normal TSH.

Effect of Propranolol on Serum Free T4 and Free T3 in Healthy Subjects

1984 ◽  
Vol 66 (2) ◽  
pp. 69P-69P
Author(s):  
M.R. Wilkins ◽  
J.A. Franklyn ◽  
K.L. Woods ◽  
M.J. Kendall
Keyword(s):  
Healthy Subjects ◽  
Free T4 ◽  
Serum Free ◽  
Free T3

scholarly journals Is a Normal TSH Synonymous With “Euthyroidism” in Levothyroxine Monotherapy?

2016 ◽  
Vol 101 (12) ◽  
pp. 4964-4973 ◽  
Author(s):  
Sarah J. Peterson ◽  
Elizabeth A. McAninch ◽  
Antonio C. Bianco
Keyword(s):  
Large Population ◽  
Density Lipoprotein ◽  
Free T4 ◽  
Lower Serum ◽  
Cross Sectional ◽  
Serum Free ◽  
Free T3 ◽  
Metabolic Equivalents ◽  
Serum T3 ◽  
Serum Tsh

Context: Levothyroxine (LT4) monotherapy is the standard of care for hypothyroidism. Objective: To determine whether LT4 at doses that normalize the serum TSH is associated with normal markers of thyroid status. Design: Cross-sectional data from the US National Health and Nutrition Examination Survey (2001–2012) was used to evaluate 52 clinical parameters. LT4 users were compared to healthy controls and controls matched for age, sex, race, and serum TSH. Regression was used to evaluate for correlation with T4 and T3 levels. Participants: A total of 9981 participants with normal serum TSH were identified; 469 were LT4-treated. Results: Participants using LT4 had higher serum total and free T4 and lower serum total and free T3 than healthy or matched controls. This translated to approximately 15–20% lower serum T3:T4 ratios in LT4 treatment, as has been shown in other cohorts. In comparison to matched controls, LT4-treated participants had higher body mass index despite report of consuming fewer calories/day/kg; were more likely to be taking beta-blockers, statins, and antidepressants; and reported lower total metabolic equivalents. A serum TSH level below the mean in LT4-treated participants was associated with a higher serum free T4 but similar free and total T3; yet those with lower serum TSH levels exhibited higher serum high-density lipoprotein and lower serum low-density lipoprotein, triglycerides, and C-reactive protein. Age was negatively associated with serum free T3:free T4 ratio in all participants; caloric intake was positively associated in LT4-treated individuals. Conclusions: In a large population study, participants using LT4 exhibited lower serum T3:T4 ratios and differed in 12/52 objective and subjective measures.

scholarly journals Factors influencing serum free T3 and free T4 in elderly euthyroid sujbects.

1989 ◽  
Vol 26 (4) ◽  
pp. 401-406 ◽  
Author(s):  
Yoriko Shimamoto ◽  
Hiroyuki Shimamoto ◽  
Hideo Nakamura
Keyword(s):  
Free T4 ◽  
Serum Free ◽  
Free T3 ◽  
Factors Influencing

scholarly journals Cardiac Effects of Thyrotropin Oversuppression with Levothyroxine in Young Women with Differentiated Thyroid Cancer

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Kyung-Soon Hong ◽  
Jung-Woo Son ◽  
Ohk Hyun Ryu ◽  
Moon-Gi Choi ◽  
Ji Yeon Hong ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Differentiated Thyroid Cancer ◽  
Thyroid Stimulating Hormone ◽  
Suppressive Therapy ◽  
Fixed Dose ◽  
Free T4 ◽  
Serum Free ◽  
Cardiac Effects ◽  
Free T3 ◽  
Cardiac Functions

Background. We investigated the cardiac effects of TSH (thyroid-stimulating hormone) oversuppression in women with thyroidectomized differentiated thyroid cancer (DTC) during levothyroxine suppression therapy.Methods. Fourteen young female patients with DTC were enrolled. The duration of TSH-suppressive therapy was 5 to 9 years. They satisfied the following criteria: (1) a serum level of TSH < 0.1 mU/L in the intermediate-risk or TSH < 0.3 mU/L in the low-recurrence-risk group and (2) having been receiving a fixed dose of LT4 before the study. Controls matched for age, sex, and body mass index (BMI) were compared in terms of the levels of serum free T4, free T3, TSH, plasma N-terminal pro-brain natriuretic peptide (NT-pro-BNP), and cardiac functions and structures.Results. DTC patients and control subjects were well matched in heart rate and blood pressure. There were marked differences in serum TSH (P=0.001) and free T4 (P=0.002). However, there were no differences between the groups in serum free T3 and plasma NT-pro-BNP. Furthermore, there were nonsignificant differences in cardiac functions and structures between the groups.Conclusions. This study shows that TSH suppression therapy in women with DTC may be safe with respect to cardiac functions and structures despite intermittent oversuppression of TSH during long-term suppressive therapy.Trial Registration. This trial is registered with clinicaltrials.gov identifierNCT02645786.

scholarly journals A CASE OF FAMILIAL NONAUTOIMMUNE HYPERTHYROIDISM DURING PREGNANCY

2020 ◽  
Vol 6 (2) ◽  
pp. e94-e97
Author(s):  
Yuka Okazaki ◽  
Naoko Arata ◽  
Nagayoshi Umehara ◽  
Taisuke Yamauchi ◽  
Junnichi Tajiri ◽  
...  
Keyword(s):  
Thyroid Function ◽  
Germ Line ◽  
Thyroid Volume ◽  
Thyroid Stimulating Hormone ◽  
Free T4 ◽  
Serum Free ◽  
Free T3 ◽  
Gestational Week ◽  
Tshr Gene ◽  
Stimulating Hormone

Objective: Familial nonautoimmune hyperthyroidism (FNAH) is a rare disease. To date there are few, if any, reports of pregnancies in women with FNAH. Our objective here is to present such a case. Methods: Free thyroxine (free T4), free triiodothyronine (free T3), thyroid-stimulating hormone (TSH), and antibodies related to the thyroid were measured. Fetal thyroid function indicators including thyroid volume and ossification were checked using ultrasound. Thyroid-stimulating hormone receptor (TSHR) gene analyses were performed. Results: The patient was a 30-year-old woman with no past medical history. She was introduced to our hospital in the fifth gestational week for pregnancy care because her family history revealed that her mother had nonautoimmune hyperthyroidism with a TSHR-activating germ-line mutation (Asn406Ser). The serum free T4 was 1.88 ng/dL (normal, 0.62 to 1.19 ng/dL), free T3 was 3.27 pg/mL (normal, 2.55 to 3.88 pg/mL), TSH was 0.02 μIU/mL (normal, 0.007 to 3.619 μIU/mL), and TSHR was negative which were considered to be consistent with mild primary hyperthyroidism. Serum free T4, free T3, and TSH concentrations were monitored every 4 to 6 weeks with a peak free T4 of 2.23 ng/dL noted at gestational week 9. The patient had no signs related to hyperthyroidism throughout pregnancy. The patient delivered a 3,518 g girl at 40 weeks of gestation. Genetic analysis of her TSHR gene showed heterozygous Asn406Ser mutation. The offspring did not show any signs of prenatal hyperthyroidism, and thyroid function at day 6 after delivery revealed a free T4 of 2.41 ng/dL (normal, 1.83 to 2.91 ng/dL) and a TSH of 3.55 μIU/mL (normal, 0.51 to 4.57 μIU/mL). Conclusion: Women with FNAH and mild thyrotoxicosis prior to pregnancy may have continuous hyperthyroidism with additional change due to the series of human chorionic gonadotropin secretion during pregnancy.

Assay of serum free T4, free T3 and free rT3 by equilibration dialysis and radioimmunoassay

Pathology ◽  
1979 ◽  
Vol 11 (2) ◽  
pp. 321-322 ◽  
Author(s):  
R.G. Symons ◽  
M.L. Wellby
Keyword(s):  
Free T4 ◽  
Serum Free ◽  
Free T3

scholarly journals Association of the serum-free T3 and T4 hormones in severe traumatic injury

2018 ◽  
Vol 5 (6) ◽  
pp. 2195
Author(s):  
Sarita Ajagallay ◽  
Shobita K. Mane ◽  
Gambheer Singh
Keyword(s):  
Head Injuries ◽  
Traumatic Injury ◽  
Mean Value ◽  
Time Interval ◽  
Free T4 ◽  
Serum Free ◽  
Free T3 ◽  
Severe Traumatic Injury ◽  
The Status ◽  
Observational Study Design

Background: The main objective of the current study to investigate that the association of serum-free t3 and t4 hormones in the patient with a severe traumatic injury.Methods: The study was conducted at the trauma center, the department of general surgery, Pt. J.N.M. Medical College and associated Dr. B.R. Ambedkar Memorial Hospital, Raipur, C.G.  Total 77 participants were concluded in the present study. The patients with head injuries, chest injury and abdominal injury who sustained their trauma within 24hrs of admission, within the age group of patients are 10-82 years were included. Retrospective observational study design applied to the present study.Results: The free thyroid hormone (ft3 and ft4) at different time interval at admission, at 24hrs and at 5th day was within normal limit. At admission ft3 mean=1.5 pmol/l (sd=0.18), after 24 hrs and 5th day mean ft3 was 1.47 pmol/l (sd= 0.14). The serum-free t4 mean value at admission, at 24hrs and after 5th day was 0.71 pmol/l (sd=0.52).Conclusions: The deranged fT4 levels have a significant association with the severity of trauma and the role of hormone level prediction of the trauma victims has important mechanisms which remain an unexplored subject. The prediction of the status ft3 level of the patients paves way for exploring the method through which these could be of clinical use for the patient’s management.

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