*P2301011623* IMMUNOLOGY REPORT *12301249344*

Invoice No : P2301011623 Invoice Date : 23/01/23 Delivery Date : 23/01/23 Report No : 12301249344
Patient Name : MR. KH.A.H.M.SAYEF Age : 25Y Gender : Male
Referred By : DR. MOHAMMAD IBRAHIM KHALIL ULLAH MBBS, DTCD, MS (Japan)

Sample : BLOOD LAB. No : 12301201225

Tests : TSH

Test is carried out by Maglumi-2000 Plus

Test Result Reference Value
TSH 1.515 µIU/mL 0-5 days: 0.7-15.2 µIU/mL
6 days-2 months: 0.7-11.0 µIU/mL
3-11 months: 0.7-8.4 µIU/mL
1-5 years: 0.7-6.0 µIU/mL
6-10 years: 0.6-4.8 µIU/mL
HN : *H12301653175*

11-19 years: 0.5-5.0 µIU/mL

> or = 20 years: 0.3-5.0 µIU/mL
Note : TSH - INTERPRETIVE GUIDE
Serum TSH level shows approximately ± 40% to 50% diurnal variation, reaching peak in the night and lowest
concentrations are observed during the afternoon and so sampling time has great influence on measured TSH
concentration. Dopamine (even short-term), Dobutamine, and high dose glucocorticoids [>20mg/d prednisone,
>100mg/d hydrocortisone, >4mg/day dexamethasone] suppress TSH release. This, in the absence of T4 and T3
values, could mimic hyperthyroidism or mask true hypothyroidism. Estimates of free or total T4 in Non thyroidal
illness (NTI) should be interpreted with caution, in conjunction with a serum TSH measurement. Whenever
possible, diagnostic test should be deferred until the illness has resolved, except when the patient's history or
clinical features suggest the presence of thyroid dysfunction. During pregnancy Placental human chorionic
Gonadotropin (hCG) stimulates thyroid hormone secretion, often decreasing maternal TSH concentrations,
especially in early pregnancy, syndrome entitled "Gestational Transient Thyrotoxicosis" (GTT). In fetus
immediately after birth serum TSH concentrations rise rapidly, probably in response to the stress of birth, to about
15 times the upper adult reference limit. Screening test for neonatal congenital hypothyroidism should be delayed
for about a week after birth to allow the serum TSH concentration to stabilize.
249

Caution:
Unexpectedly abnormal or discordant thyroid test values may be seen with some rare, but clinically significant
conditions such as central hypothyroidism, TSH - secreting pituitary tumors, thyroid hormone resistance
syndrome. Sometimes presence of rheumatoid factor, heterophilic antibodies (HAMA), Human anti mouse
Report Status : Finalized

antibodies or thyroid hormone auto-antibodies may produce spurious results in patient with autoimmune disorder
(10%).
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SUJAN DAS DR. PRASUN BARUA DR. S. M. SHALAUDDIN SHARIF

B.Sc (Lab.Medicine) MBBS, MPhil (Biochemistry), MBBS, M.Phil (Medical Biochemistry)
Sr. Medical Technologist Assistant Professor of Biochemistry Associate Professor
Army Medical College Chittagong Department of Biochemistry, CIMC

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