Symptoms of T3 hyperthyroidism

summary

Most patients with hyperthyroidism blood T3 and T4 are increased, but a few patients only T3 increased, T4 is normal, called T3 hyperthyroidism. This disease was first reported by maclagan in 1957. The incidence rate varies from 3% to 20% of hyperthyroidism. Some people think that elderly patients are more likely to suffer from it. Symptoms of T3 hyperthyroidism? Next, I'd like to share my views with you.

Symptoms of T3 hyperthyroidism

T3 hyperthyroidism is common in the early onset, treatment or recurrence of all kinds of hyperthyroidism (including toxic thyroid adenoma, Plummer's disease, Graves' disease, and even thyroid cancer). The clinical manifestations were similar to those of the common type, with ophthalmopathy and goiter, but the symptoms were mild.

In this kind of hyperthyroidism patients, the ability of transforming T4 into T3 in peripheral blood is weakened or lost, and T3 in vivo can only come from the direct synthesis of thyroid, so although T4 is increased, T3 is normal or even decreased. In addition, due to the inhibition of 5 'monoiodide deiodinase, the blood RT3 of these patients increased abnormally. When the chronic disease recovered, RT3 decreased, while T3 increased.

It should be noted that although there is no hyperthyroidism in some chronic patients for a long time, there may be an occasional increase of T4 in the course of the disease, which needs to be differentiated from T4 hyperthyroidism and can be judged according to the level of TSH. Basal metabolic rate (BMR) was measured; Blood cholesterol, triglyceride and creatine in urine were measured.

matters needing attention

Give plenty of carbohydrates and fat. Carbohydrate and fat can save protein. If the supply is sufficient, protein can play its unique physiological function. Give adequate vitamins and inorganic salts. Vitamin can regulate physiological function and improve metabolism, especially vitamin B and vitamin C. Adequate calcium and iron should be given to prevent deficiency.