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Table 1 the patients’ baseline characteristics

From: Clinical insights of pregnancy management, adrenal insufficiency as a possible cause of elevated TSH: a pilot study of case series

Case

Basal state

Endocrinological basal value

TUS

pituitary gland MRI

Pregnacy

(weeks)

Age

(yr)

Symptoms

LT4

(µg/Day)

TSH

(µIU/mL)

FT4

(ng/dL)

TgAb

(U/mL)

TPOAb

(U/mL)

BC

(µg/dL)

ACTH

(µg/dL)

Internal

properties

Estimated

weight (g)

Group 1; AI group (n = 4)

1

11

34

none

25

2.6

0.9

45.6

14.7

6

28.9

DP

33.6

NA

2

14

42

nausea

none

4.88

0.96

≦ 10

5

10.5

5.7

NP

6.6

NA

3

15

33

none

25

1.46

1.44

1.24

1.28

10.7

22.5

NP

none

Ratke cyst

4

17

31

nausea

37.5

0.81

1.04

5.1

<0.50

15.3

14.8

DP

13.1

none

Group 2; hypothyroid group with low basal serum cortisol but pass stimulation test (n = 3)

5

7

22

fatigue

none

10.8

0.96

183

1450

8

10.4

DP

20.3

NA

6

12

31

nausea

none

5.73

1.09

2.93

<0.50

12

18.9

NP

8.1

pituitary cyst

7

15

37

none

75

1.17

1.21

≦ 10

12.43

10.4

10.8

NP

5.5

NA

Group 3; Hypothyroid group with adequate basal serum cortisol (n = 6)

8

14

41

nausea

50

1.2

0.99

0.78

<0.50

11.1

9

NP

8.8

none

9

16

24

none

50

2.96

1.34

1.2

26.5

24.8

none

DP

7.9

none

10

21

31

mild

none

5.6

0.85

≦ 10

10

22.3

14.7

NP

9.5

none

11

27

34

none

none

5.57

0.79

0.8

1.17

24.5

16.9

NP

7.2

none

12

31

35

nausea

50

1.73

0.9

0.45

<0.50

27.6

12.6

NP

7.8

none

13

33

28

nausea

37.5

2.31

1.11

1.96

<0.50

21.3

9.3

NP

7.1

none

low basal serum cortisol but refused stimulation test (n = 2)

14

19

29

hypoglyceimia

12.5

1.8

1.08

11.5

0.61

13.4

6.3

NP

8.1

NA

15

31

34

nausea

100

0.59

1.13

88

281

16.8

none

NP

9.7

none

  1. TUS, Thyroid Ultrasound; TD, Thyroid Disease; LT4, Levothyroxine;
  2. TSH, Thyroid‑stimulating hormone; TgAb, thyroglobulin autoantibodies;
  3. TPOAb, thyroid peroxidase antibodies; BC, Basal Cortisol; AI, Adrenal Insufficiency;
  4. DP, diffuse thyroid parenchyma; NP, normal thyroid parenchyma;NA, No abnormality