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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
2010-10-18
pubmed:abstractText
Few papers have shown that a hypoechoic appearance of the thyroid gland at ultrasonography (US) is related to a hypofunction and serum positivity of thyroid antibodies (T-Ab). However, it is not ascertained if normal thyroid appearance at US correspond to normal thyroid laboratory tests. The aim of this study was to assess the value of normal thyroid at US in predicting normal thyroid hormones and negative T-Ab in a cohort of 48 adult patients. All patients (37 females and 11 males) were referred to our hospital to undergo their first thyroid US examination, followed by a thyroid function evaluation. All subjects had normal thyroid gland at US. As a control group 65 patients with hypoechoic and inhomogeneous thyroid gland were enrolled. All 48 patients had normal free-T (3) and free-T (4) levels. While 41 patients (85.4%) showed normal TSH, in 7 subjects (14.6%) TSH was elevated and a significant (p < 0.001) difference was recorded between the two groups in mean TSH value. Positive T-Ab value was found in 5 patients (10.4%) and the remaining 43 patients (89.6%) had negative T-Ab. TSH was not significantly correlated with age, thyroid volume or BMI. The multivariate model showed that only BMI was significantly correlated to thyroid volume (p < 0.01, r(2)=0.31). These results showed that normal thyroid recorded by US matches with normal thyroid laboratory assessment to a large degree. These preliminary data need to be confirmed in a prospective study and in a larger series and should suggest the evaluation of thyrotropin and thyroid antibodies in subjects with normal thyroid gland as assessed by US.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
1439-3646
pubmed:author
pubmed:copyrightInfo
© J. A. Barth Verlag in Georg Thieme Verlag KG Stuttgart · New York.
pubmed:issnType
Electronic
pubmed:volume
118
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
630-2
pubmed:meshHeading
pubmed-meshheading:19998241-Adolescent, pubmed-meshheading:19998241-Adult, pubmed-meshheading:19998241-Autoantibodies, pubmed-meshheading:19998241-Case-Control Studies, pubmed-meshheading:19998241-Diagnostic Techniques, Endocrine, pubmed-meshheading:19998241-Female, pubmed-meshheading:19998241-Health, pubmed-meshheading:19998241-Humans, pubmed-meshheading:19998241-Immunoglobulins, Thyroid-Stimulating, pubmed-meshheading:19998241-Male, pubmed-meshheading:19998241-Middle Aged, pubmed-meshheading:19998241-Predictive Value of Tests, pubmed-meshheading:19998241-Reference Values, pubmed-meshheading:19998241-Retrospective Studies, pubmed-meshheading:19998241-Thyroid Function Tests, pubmed-meshheading:19998241-Thyroid Gland, pubmed-meshheading:19998241-Thyroid Hormones, pubmed-meshheading:19998241-Young Adult
pubmed:year
2010
pubmed:articleTitle
Does normal thyroid gland by ultrasonography match with normal serum thyroid hormones and negative thyroid antibodies?
pubmed:affiliation
Section of Endocrinology and Diabetology, Ospedale Israelitico, Rome, Italy. pierpaolo.trimboli@gmail.com
pubmed:publicationType
Journal Article, Evaluation Studies