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CASE REPORT
Year : 2008  |  Volume : 5  |  Issue : 3  |  Page : 90-91

Thyroid vignette


1 Department of Endocrinology, Excel Center, Guwahati, India
2 Department of Radiodiagnosis, International Hospital, Guwahati, India
3 Department of Nuclear Medicine, Nucleomed, Guwahati, India

Correspondence Address:
M P Baruah
Department of Endocrinology, Excel Center, Guwahati
India
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Source of Support: None, Conflict of Interest: None


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Non thyroidal illness syndrome is used to describe alterations in thyroid function in various clinical situations and is cytokine mediated. We report a case of an 65 year old male with cough and low grade fever for 6 months. He had right side Hydro pneumothorax, exudative pleural effusion, high ESR, leucocytosis, transaminitis, prerenal azotemia and stress ulcers in stomach. His thyroid function showed low TSH and low normal freeT4. A technetium pertechnectate ("'"Tc) scintiscan of the thyroid was performed which showed absent uptake. Though not a standard indication for thyroid scintigraphy, NTIS is encountered quite frequently in clinical practice, and hence it is pertinent to discuss this well documented case.


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