Question Patients with Hashimoto’s thyroiditis are more susceptible to developing a Wolf-Chaikoff reaction to iodine excess than patients without thyroid disease. Yet pregnant women are all being recommended by some to take 250 mcg of iodine during pregnancy and lactation. If you make sure pre-pregancy hypothyroid patients are treated to assure TSH<2,5 and once pregnant […]

Question 2 month old baby,male, was born full term, birth weight 3.2kg. No neonatal complications. No hipoglicemia, jaundice or micropenis. Normal newborn screening (Normal TSH and Free T4). Maternal data: no medications during pregnancy or breastfeeding, no problems during pregnancy. Normal Thyroid function test.No hoarse cry, facial puffiness, umbilical hernia, hypotonia, mottling, cold hands and […]

Question I am a physician who practice in El Paso, TX. I just got a patient complaining of fatigue with the following thyroid panel results: TSH – 2.04 uIU/mL T4 Total – 8.55 ug/dL (4.87 – 11.72) T Uptake – 43.3 % (32 – 51) Free Tiroxine Index – 9.26 ug/dL (5.93 – 13.13) T3 […]

Question Full term newborn male with a hx of IUGR in utero born to a mother who smoked during pregnancy but who has no hx of thyroid problems, who at birth has some respiratory distress and is noted to have a large neck mass. TSH is 775mcIU/ml and free T4 is 0.39 ng/dl so he […]