Article Per Year (5 Year)
p-Index From 2019 - 2024
1.431
P-Index
This Author published in this journals
All Journal journal of internal medicine Buletin Udayana Mengabdi E-Jurnal Medika Udayana Health Science Journal of Indonesia The Indonesian Biomedical Journal Jurnal Penyakit Dalam Udayana ISM (Intisari Sains Medis) : Jurnal Kedokteran
Ni Ketut Rai Purnami
Divisi Geriatri Departemen Penyakit Dalam, Fakultas Kedokteran, Universitas Udayana/RSUP Sanglah Denpasar
Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

Published : 10 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 1 Documents
Search
Journal : journal of internal medicine

 1 
EUTHYROID SICK SYNDROME Rai Purnami, Ni Ketu; Ratna Saraswati, Made; Sustika, I Ketut
journal of internal medicine Vol. 10, No. 1 Januari 2009
Publisher : journal of internal medicine

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (204.295 KB)

Abstract

Subclinical thyroid dysfunction is a common clinical problem for which there are many controversial issues regardingscreening, evaluation and management. Subclinical hypothyroidism is defined as an elevated serum TSH level associated withnormal total or free T4 and T3 levels. Euthyroid sick syndrome (ESS) identifies abnormalities in thyroid function tests observedin patients with systemic nonthyroidal illnesses (NTIs) and those undergoing surgery or fasting. Abnormalities of thyroid functionin NTIs have been classified as 1). Low T3 syndrome, 2). Low T3-low T4 syndrome, 3). High T4 syndrome, and 4). Otherabnormalities. The condition is not considered to need treatment because there are no symptoms and the tests go back to normalwhen the stressful illness has passed. It has been reported a case of euthyroid sick syndrome of a 49 years old woman, whoÕssuffering from sistemic illness of space occupaying lession in thoracal VII-VIII (with histopathologycal findings: metastaticadeno carcinoma). We found low levels of T3 (0.49 nmol/L) and TSH (<0.05 uI/ml), but normal levels of T4 (96.91nmol/L). Inseverely ill patients, T4 decreases and both T4 and T3 are inversely correlated with mortality rate.
Co-Authors Anak Agung Mas Putrawati Triningrat Anak Agung Wiradewi Lestari Desak Made Cittarasmi Saraswati Seputra Dian Pritasari Jeger Dwi Kristian Adi Putra I Gusti Agung Wilaja Putra I Gusti Putu Suka Aryana I Ketut Suastika I Ketut Sustika I Made Jawi I Nyoman Astika I Nyoman Wande I Nyoman Wande I Putu Gede Adiatmika I. N. Astika I.D. G.A.E. Putra Ida Bagus Putu Putrawan MADE RATNA SARASWATI . N. K.S. Diniari Putu Shely Prihastuti Rudy R. A.T. Kuswardhani Semaradana, Wayan Giri Putra Sri Kayati Widyastuti Wayan Giri Putra Yosef Samon Sugi