Atypical Rise in TSH level in Hypothyrodism Despite Taking Daily High Dose of Thryoxine Tablet: Is It just a Noncompliance or a Rare pathology?
A patient came to our outpatient department complaining of fatigue, and weight loss. She added that she have had progressively increasing throat pain for last 7 months. She has a history of hypothyroidism. She was taking 150 micro-gram thryoxine tablet daily and despite the same continued doses her previously reported TSH level was on the rising level of 150 uIU/mL since last 4 year. Her repeated TSH level on the same day appeared to be 114 uIU/ml.Then the patient was asked to change his thyroxine tablets due to possible expiry date of medications and counseled to take properly the medications and advised to follow up after a week. This case was discussed in our Facebook group and conversations on this case is attached as follows: Vivek Poddar Bhavik Shah March 21 at 2:52pm Rakesh Biswas It appears that she never had a T3, T4 done in the past 4 years!! This patient is from Asansol Partha . March 21 at 2:53pm