Patient: description of the disease (time of onset, the main symptom, hospitals, etc): I am a five year old girl in May 13, 2010 tachycardia
Patient: description of the disease (time of onset, the main symptom, hospitals, etc): I am a five year old girl in May 13, 2010 tachycardia caused by diarrhea, found in hyperthyroidism, the heart rate of about 120, eat more, stool three times a day, excited first test results TT4 281 (50--124); TT3 9.9 (0.61-2.5) FT4; 117 (6.6-24.8); FT3 62.57 (3.3-8.5); TSH 0.01 (0.3--5.5); TGAB 62 (taking thyrozol 7.5MG/D, B4, propranolol, scyllitol, a week after the review, the value of TT4 147; TT3 4.83; FT4 59.2; FT3 22.08; TSH 0.01; TGAB 63; TPIAB 49; TRAB 1; TG 1 requested the thyrozol added to 12.5MG/D of normal white blood cells, neutrophils percentage of 2.42 (2--7.5) 42.4 (50--75) decreased 45.7 percentage of lymphocytes (20--40) increased, the percentage of eosinophils (6.8 0.5--5.0) increased by two Zhou Houfu requested the thyrozol to the 15MG/D specification, the daughter weighs 19 kilograms, reasonable The dosage should be 10/MG, now a small female thyrozol for the amount of 15/MG, the 1 little girl may be Hashimoto, 2 after one week of medication index decreased in the course of hyperthyroidism whether to increase the amount of thyrozol, thank you for your selfless and benevolence, I and my beautiful daughter. Thank you! Department of Wuxi Fourth People's Hospital:
1 the little girl may be Hashimoto?
Answer: the clinical manifestations and laboratory indicators of thyroid function hyperfunction of primary toxic goiter and Hashimoto's disease early can have hyperthyroidism, clinical manifestations and laboratory indexes of the former during follow-up of thyroid hyperfunction persists, the latter by hyperfunction gradually evolved into the anti thyroid dysfunction, and the latter ball protein antibody and anti microsomal antibodies increased significantly (although the former may also have the corresponding performance). Your daughter has hyperthyroidism evidence, but the antibody index is not in line with the typical Hashimoto's disease, such as to primary toxic goiter and Hashimoto's disease diagnosis, for cytological examination of thyroid biopsy, or anti thyroid drugs in use at the same time periodic review of relevant treatment. However, whether the primary toxic goiter sea or Hashimoto's disease, currently available thyrozol.
2 after one week of medication of hyperthyroidism index decreased during whether to increase the amount of thyrozol?
Answer: laboratory examination of thyroid function, no need weekly review, but a week should see a doctor to the hospital, to adjust thyrozol according to clinical symptoms and signs of consumption. Usually in the treatment of second weeks and sixth weeks after the disease was improved, after the disease was controlled and then gradually reduced to maintain the amount (0.3-0.6mg/kg/d), the treatment often takes about 1 years.
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