Table 1 Serial thyroid functions, clinical features and treatment
From: Paradoxical euthyroid hormone profile in a case of Graves' disease with cardiac failure
Day | T4 (60-160 nmol/L) | Free T4 (10-25 pmol/L) | T3 (1.3-2.8 nmol/L) | TSH (0.3-5 mIU/L) | Albumin (35-55 g/L) | Clinical event | Treatment |
|---|---|---|---|---|---|---|---|
1 | 104.8 | 22.6 | 0.7 | <0.15 | 25 | CHF* | Carbimazole Prednisolone Propranolol |
4 | 205.3 | 58.0 | 1.7 | Â | 31 | Resolution of CHF* | Â |
8 | 135.0 | 49.3 |  |  |  | Persistent fever and tachycardia | KI†started |
12 | Â | Â | 1.0 | Â | Â | Fever resolved | Steroid tapering started |
4 week | 80.8 |  |  |  | 36 |  | Off KI†and steroids |
9 week | 35.0 |  |  |  |  | Clinically hypothyroid | Carbimazole dose reduced RaIA¶ done |
4 month | 119.8 | Â | Â | <0.15 | 49 | Clinically euthyroid | Â |
9 month** | <12.9 | Â | Â | >60 | Â | Radiation induce Hypothyroidism | Thyroxine started |