Abstract
Slightly elevated level of TSH, normal T3/T4 levels and high Anti TPO level is a sign of subclinical hypothyroidism. More than 90% of the thyroid disease cases are caused by diseases that are autoimmune in nature. Hashimoto’s thyroiditis is a progressive and lifelong autoimmune disease. It starts subtly, usually long before the patient is diagnosed and develops slowly. In this research is presented a case of 38-year-old woman with elevated anti-TPO levels, without previous thyroid disorders. The patient has done 10 acupuncture treatments every two weeks in a period of 6 months. Before the treatment the anti-TPO level was 91.2 U/ml (<60.0 U/ml). After the treatment it was normalized to 54.8 U/ml. The TSH level before the treatment was also slightly elevated to the upper range – 4.39 pIU/ml (0.55-4.75 pIU/ml). After the treatment it was normalized to 2.08 pIU/ml. Acupuncture points used in the treatment are: RN4 (QuanYuan), RN6 (QiHai), DU20 (BaiHui), GB20 (FengChi), DU14 (DaZhui), LI4 (HeGu), DU4 (MingMen), BL15 (XinShu), ST9 (RenYing), BL20 (PiShu), BL23 (ShenShu), LR2 (TaiChong), SP9 (YinLingQuan), SP6 (SanYinJiao), ST36 (ZuSanLi), KI3 (TaiXi) and Ashi (trigger) points located on the neck (front and back). The acupuncture treatment is always most effective at the onset of the disease and gives good results in such pre-conditions. The acupuncture treatment is a great choice for prevention, as well as for more serious and advanced conditions.
Highlights
Elevated level of thyroid-stimulating hormone (TSH), normal T3/T4 levels and high Anti TPO level is a sign of subclinical hypothyroidism
Elevated level of TSH, normal T3/T4 levels and high Anti TPO level is a sign of subclinical hypothyroidism
Positive anti-TPO confirms that the cause of the condition is autoimmune, meaning that these antibodies in the body, lead to hypothyroidism
Summary
Elevated level of TSH, normal T3/T4 levels and high Anti TPO level is a sign of subclinical hypothyroidism. The condition is called subclinical because only the serum level of thyroid-stimulating hormone (TSH) is a little bit above the normal. Positive anti-TPO confirms that the cause of the condition is autoimmune, meaning that these antibodies in the body (which act against the thyroid cells), lead to hypothyroidism. Hashimoto’s thyroiditis is a progressive and lifelong autoimmune disease. It starts subtly, usually long before the patient is diagnosed and develops slowly.[2][3][4]. The disease may start with general Qi deficiency and progress and affect all organ systems over the time. The initial stage of the condition is equivalent to subclinical hypothyroidism and there are mainly present symptoms of Spleen Qi deficiency. [6]
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