[CIS-PAGID] BEST REGARDS

[Wilmer Cordova Calderon]

Thank you Dr. Melvin
I I/C to endocrinology and he solicited T3, T4 and now have levotiroxina
100ug/day
but I wonder if the recurrent infection had relation with the hipothyroid
or some immuno alteration. Do you know some case similar with something
like that?
Atte
Wilmer

2012/3/27 Berger, Melvin <Melvin.Berger at uhhospitals.org>


> In many cases, increasing thyroid replacement so that the TSH is within

> normal limits or at the lower end of the normal range will cause resolution

> of the urticaria. I suggest to try this before any other expensive work up.

>

> Melvin Berger, M.D., Ph.D.

> Adjunct Professor of Pediatrics and Pathology

> Case Western Reserve University

> Cleveland, OH 44106

>

> ________________________________

>

> From: pagid-bounces at list.clinimmsoc.org on behalf of Dewton Vasconcelos

> Sent: Thu 3/22/2012 3:27 PM

> To: pagid at list.clinimmsoc.org

> Subject: Re: [CIS-PAGID] BEST REGARDS

>

>

> Dear Wilmer

>

> Sometimes hypothyroidism due to Hashimoto's autoimmune thyroiditis is

> associated to urticaria, usually chronic urticaria. She is nowadays clearly

> hypothyroid (TSH moderately elevated).

> In these cases, replacement of L-thyroxin usually induces remission of the

> cutaneous manifestations.

>

> Best regards,

>

> Dewton

>

> Wilmer Cordova Calderon wrote:

>

>        DEAR DEWTON THIS LABORATORY RESULTS ARE SOME CONTRIBUTE TO THYROID

> ALTERATION. OTHER DISEASES ARE: NEGATIVE

>

>

>        CBC / Date 16/02/2012

>

>        leukocytes / cells / microL 7630

>

>        Neutrophils% / cells / microL 3490

>

>        Lymphocytes% cells / microL 3060

>

>        BASOPHILS 30

>

>        monocytes 810 INCREASED SLIGHTLY

>

>        eosinophils 220

>

>        Hemoglobin. 12.8

>

>        Hematocrit: 38.6

>

>        ERYTHROCYTES 4290

>

>        Platelets: 433

>

>        Additional elements:

>

>        Ig E 362.1 INCREASED 3 TIMES NORMAL

>

>        OTHER REVIEWS

>

>        PCR 1.1

>

>        ESR 10

>

>        ANTI Thyroglobulin 1298 INCREASED SEVERALY

>

>        ANTI PEROXIDASE:  MAS 600 INCREASED SEVERALY

>

>        TSH 25.76: INCREASED SEVERALY

>

>        Parasitological: NEGATIVE

>

>        Leucos URINE: GR  1 / C

>

>        GLYCEMIA 95

>

>

>        2012/3/22 Dewton Vasconcelos <dmvascon at usp.br>

>

>

>                Dear Wilmer

>

>                I'd suggest to look for common causes of urticaria, e.g.,

> non steroid anti-inflammatory drugs, artificial colorants in foods, drugs,

> toothpaste etc., other drugs (basophil degranulators, angiotensin converter

> enzyme  inhibitors etc.).

>                The infections are really common and it is important to

> rule out allergies (rhinosinusitis, asthma etc) and Samter's triad (AAS

> sensitivity, asthma and chronic eosinophilic non-allergic rhinitis).

>                Look for IgA levels, as IgA deficiency is frequently

> associated to autoimmunity (thyroid and gut) and respiratory allergies.

>

>                All the best,

>

>                Dewton Vasconcelos

>                University of São Paulo

>

>

>                Wilmer Cordova Calderon wrote:

>

>                        THERE IS A PATIENT WOMAN 56 YEAR OLD  WITH  Acute

> Urticaria

>                        BACKGROUND DISEASES

>

>

>                        PTI

>

>                        HYPERTHYROIDISM THEN (ACTUALLY) HIPOTHYROIDISM

>

>                        BRONCHITIS - TRACHEITIS TWICE A YEAR

>

>                        TONSILLITIS FIVE A YEAR

>

>                        SPLENECTOMY 14 YEAR OLD

>

>                        HYSTERECTOMY  39 YEAR OLD

>

>

>                        LABORATORY

>                        CBC / DATE

>                        Count / Date 16/02/2012

>                        No absolute leukocytes / cells / microL 7630

>                        Neutrophils% / cells / microL 3490

>                        Lymphocytes% cells / microL 3060

>                        BASOPHILS 30

>                        monocytes 810

>                        eosinophils 220

>                        Hemoglobin. 12.8

>                        Hematocrit: 38.6

>                        ERYTHROCYTES 4290

>                        Platelets: 433

>                        Additional elements:

>                        Ig E 362.1

>                        OTHER REVIEWS

>                        1.1 PCR

>                        ESR 10

>                        Thyroglobulin 1298

>                        PEROXIDASE ANTI MAS 600

>                        TSH 25.76

>                        Parasitological 3 METs NEG

>                        Leucos URINE EX 1 / C

>                        GLYCEMIA 95

>                        IN ADDITION TO OTHER THYROID ASSESSMENT SHOULD BE

> ASSOCIATED PATHOLOGY TO EVALUATE?

>

>                        ATTE

>

>                        WILMER CÓRDOVA

>

>

>

>

>

>

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