Problem description: Condition description (time of onset, main symptoms, symptom changes, etc.): The patient is 28 years old, male, and has no genetic history.
Beginning in 2018, the physical examination found that the size of bilateral thyroid nodules did not change significantly during three years. The larger one on the left is about 6.9*3*5.7 mm; the larger one on the right is about 6.5*4*5.6 mm.
Physical examination in November 2020 Newly increased Thyroid gland (the thickness of Shaanxi is about 5 mm, the anteroposterior diameter of the right lobe is about 16 mm, and the anteroposterior diameter of the left lobe is about 17 mm)
F T 3, F T 4, T S H and other indicators are abnormal. The specific results of the physical examination in November 2020 are:
Anti-thyroid peroxidase: 827.9 (I U/ml), the reference value is 0-30 (I U/ml);
Thyroid-stimulating hormone: 0.046 (μ I U/ml), the reference value is 0.3-4.5 (μ I U/ml);
Serum free triiodothyronine: 7.08 (pg/ml), the reference value is 2—4.2 (pg/ml);
Serum free tetraiodothyronine: 28.12 (pg/ml), the reference value is 7.2-17.2 (pg/ml)
The patient has no obvious symptoms of hyperthyroidism. The weight has remained around 67 kg (168 cm in height) in the past three years. There has been no weight loss, no increase in appetite, and no prominent eye sockets. Thank you for asking the doctor to diagnose the patient’s condition, cause, treatment plan, and precautions!
Question date:2020-12-09
Patient information:Age: 28 years old Gender: Male
Question analysis: Hello, from your examination, there is currently an enlarged thyroid gland and abnormal thyroid antibodies. This may be a manifestation of thyroiditis.
Guidelines: You need to look at endocrine at present Doctors, you can choose medication if necessary.
Suggestion is for reference only. If the problem is serious, please go to the hospital for detailed examination