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Table 1 Clinical information of adult hypothyroidism associated with multiple ovarian cysts

From: Ignored adult primary hypothyroidism presenting chiefly with persistent ovarian cysts: a need for increased awareness

Author

Yamashita Y

Taher BM

Bassam T

Kubota K

This case

Report year

2001

2004

2006

2008

2011

Age

19

22

19

21

23

Chief presentation

Irregular cycle

Weight gain

Acute abdomen

Abdomen pain

Abdomen pain

Acute abdomen

Persistent cysts

Hb

106

-

-

87

87 (110-150)

TSH

132.75 (0.48-4.82)

>100 (0.47-5.01)

4191 (0.47-5.01)

1840.6 (0.5-5.5)

>100 (0.34-5.6)

FT3

3.08 (6.01-8.47)

-

-

-

2.00 (3.85-6.01)

FT4

3.86 (14.16-24.45)

<5 (9.1-23.8)

Undetectable

0 (10.42-27.41)

2.06 (7.46-21.11)

FSH

3.8

9.8

14

9.7

19.84

TPO-Ab

2.0 (0-0.3)

-

-

100

108.7 (0-5.16)

TG-Ab

-

-

-

102400

83.7 (0-4.11)

LH

1.6

12.6

1.1

<0.5

0.26

E2

1206

105.9

127.5

601

132

PRL

61.5 (0-26.3)

71.3

38.1 (3.8-23.2)

-

36.4

T

0.46 (0.35-2.08)

-

-

-

0 (0.35-2.43)

TG

-

-

-

-

4.40 (0.37-1.84)

TC

4.1

-

-

8.82 (3.31-5.66)

6.49 (3.10-5.69)

GPT

19

-

-

215 (6-27)

23 (5-45)

GST

14

-

-

175 (13-33)

39 (5-35)

CK

60

-

-

811 (45-163)

1148 (39-275)

LDH

340

-

-

405 (119-229)

413 (60-213)

CA125

-

93 (<35)

--

73 (1-35)

29 (<35)

Morphology of ovary

Multiple follicles

R 9 cm

Multiloculated cysts

R 6 cm

L 5 cm

Multiple cysts

R 4.5 cm

L 5 cm

Multiple cysts

R 10 cm

L 4 cm

Multicystic

R 6 cm

  1. Hb: hemoglobin (g/l); TSH: thyroid stimulating hormone (mU/l); FT3: free triiodothyronine (pmol/l); FT4: free tetraiodothyronine (pmol/l); TPO-Ab: antithyroid peroxidase antibody (IU/ml); TG-Ab: antithyroglobulin (IU/ml); FSH: follicle-stimulating hormone (IU/l); LH: luteinizing hormone (IU/l); E2: estradiol (pmol/l); PRL: prolactin (ng/ml); T: testosterone (nmol/l); TG: total triglyceride (mmol/l); TC: total cholesterol (mmol/l); GPT: glutamate pyruvate transaminase (IU/l); GST: glutamic-oxaloacetic transaminase (IU/l); CK: creatine kinase (IU/l); LDH: lactate dehydrogenase(IU/l); CA-125: cancer antigen 125(IU/l); R: right ovary; L: left ovary. Data in parentheses are within the normal range.