Name
EUTHYROID HYPERTHYROXINEMIA
DESCRIPTION
DETAIL
SERUM TOTAL OR RARELY FT4 CONC ARE ABNORMAL WITHOUT EVIDENCE OF THYROID DISEASE, MAY BE ASSOCIATED WITH NORMAL,LOW OR HIGH T3 LEVELS. CAUSES : 1. PHYSIOLOGICAL - PREGNANCY - `ESTROGEN THERAPY - NEW BORNS 2. HERIDITARY CAUSES - INCREASED THYROXIN-BINDING GLOBULIN - INCREASED THYROXIN-BINDING PREALBUMIN - FAMILIAL DYSALBUMINEMIC HYPERTHYROXINEMIA 3. DRUGS - ESTROGENS - HEROIN - METHADONE - CLOFIBRATE - PERPHENAZINE - 5-FLUOROURACIL - AMIODARONE - IOPANOIC ACID - IPODATE - HEPARIN - PROPRANOLOL 4. THYROID HORMONE RESISTANCE SYNDROME 5. HYPERTHYROXINEMIA OF SYSTEMIC ILLNESS - ANY ACUTE ILLNESS - LIVER DISEASES - ESTROGEN SECRETING TUMORS - AC INTERMITTENT PORPHYRIA - HIV - AC PSYCHOSIS - EXTREMELY HIGH ALTITUDE - PRESENCE OF ANTI-T4 IMMUNOGLOBULINS - PRESENCE OF ANTI-T3 IMMUNOGLOBULINS
TYPENOTES
Medical Care Persons with the familial form of euthyroid hyperthyroxinemia do not require any medical care. Avoidance of the causative drugs may be helpful. Surgical Care The tumors, such as glucagonoma, islet cell tumors, or estrogen-secreting tumors, may be resectable, which may lead to resolution of the abnormality postoperatively.
RELATED DISEASE
Not Available Disease
DISEASE
INVESTIGATION
T3, T4, TSH, COMPLETE BLOOD COUNT