Thyreoidea analyser

      

2002 Biopsi which was done because of: "TSH 0,009, (TPO 0,4), TRAK 11,4 . Thyreoidit ?"               "No high level of lymphocyte process but what can be seen, can be a rest of inflammatory processes for exemple a thyreoidit of type Hashitoxicose. That would explain the laboratory profile which indicates a hyperthyreos. These Hashitoxicoses usually turn back and become a manifest subclinical/clinical hypothyreos." 

Nothing of this biopsy or the high level of TRAK has been mentioned in the medical reports of KS.

The high level of TRAK and the low TSH shows GRAVES. 

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2005 High Thyroid Levels and Scintigigraphy  (Very much medical text, I try to resume:)Unwaitedly there is a very low uptake of 3 % and this indicates either a thyroidit or a blockade of yod. TC-scint shows a normally big thyreoidea at normal place and a small invdication of increased activity on the right side compared to the left side.  No signs of hyper functioning nodulus. Ask the patient of possibility of having taken yod but the answer is no. I don't see any signs of a thyreoidit and when palping the thyroid it is quite soft and not painful. It corresponds exactly to what was found on the scintigraphy.ISo there is no explanation to the low uptake of yod. She does not take levothyroxin. 

Nothing of this scintigraphy was mentioned in the medical reports of KS

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In 2009 Bath was prescribed thyreostatica because of high thyroid levels. She took that a short period. 

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July - December 2014  Tyreoitoxicose, too high levels of thyroid.  The doctor said she should have no treatment, it would disappear by itself. It did, in December 2014 hyper fell to hypo in some days. It was horrible.

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January 2015 Scintigraphy at Karolinska.

Diagnos/Question: Toxic adenom or multinodular goitre

Anamnes/Condition: 35 year old woman with earlier unclear thyroid disturbances,who was treated with Lugol's drops. Se finished this treatment in August and has since then developed a mild hyperthyreos with low TSH, without TRAK or TPO. This was initially understood as as a yod induced destructiontyreoitoxicose but the high thyroid levels have been constant during the whole autumn and did not fall as expected. Therefore the scintigraphy is wanted.

Answer: Technetiumscintigraphy shows regular up-take in the whole thyroid with a domination in the right lobe.No sign of hot noduli. Yod within normal references (23). Thus, a normal technitiumscintigraphy and normal (trace?) yod. No sign  of adenom or nodular goitre. ---------

My personal question is: Do they only answer the placed question or does this thyorid realy look healthy?

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16th July 2016

At this date Bath went into a myxoedemcoma. It has not been verified in a hospital but when we came to a hospital,  they told us that the TSH and T4 were not "going together" and that we should go immediately to the big specialist hospital. But Bath refused to go to that place and preferred dieng at home. So we went home and  I started to give her thyroid hormons. The follwing months were a cathastrophy and I thought every day she would die. She was not conscious all the time and sometimes she lost the sens of reality. But she did not die and in December 1016 she "woke up" and since then it is better and she is quite normal in herhead again. But she is not healthy. The thyroid goes up and down.

 We have just learnt that if you have an adrenal insufficiensey you  c a n have a false high T4. Can that have been the reason for the relatiely high T4?

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March 2017   Sonographie coded with colours

Volume left 4,9    Right 8 ml      Total 12,9 ml

Thyorid normally big, from the environment limited, Parenchympattern, echonormal, homogen, multipliedly divided (septered), undervascularised, no noduli.

Judgement: normally big thyroid, without noduli. The parenchympattern could correspond to an autoimmune illness of thyroid type hashimoto.  

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In October 2017 Bath got the diagnose Graves/Basedow and Hashimoto from a doctor specialized in endocrinology.  He based that on her anamnes, examens and antibodies.That clinic was out of Sweden.  

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In November 2017 Bath went to an emergency clinic in Stockholm for something quite different than hormons. The doctor said: I can see that you have Graves. Bath surprised asked him how he could know that. He said: I saw that on your blood results.

Has the Karolinska given her the diagnose Graves without her knowing it? 

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