Shijiazhuang First Hospital, Department of General Surgery, Wang Guiqi: Hi, high thyroid anti-globulin antibody and thyroid anti-peroxidase antibody indicate chronic lymphatic thyroiditis, because it is an autoimmune disease, so there will be high antibodies, and no matter how the disease develops, the antibodies may always be high. Now it can only mean that the condition is relatively stable and long-term herbal treatment is recommended. This is an autoimmune disease, so the disease progression is slow but not easily blocked. But definitely do not iodine 131 treatment, because with the disease progression may develop to add or subtract. It cannot be said to be cured yet. Follow up and observe and keep a good attitude. Patient: Description of condition (onset, main symptoms, hospital visited, etc.): Diagnosed with hyperthyroidism at the local prefectural level on April 11, 2010. weight loss of about 9 kg in 3 months, low menstrual flow, hand tremors. Tabazol was taken for 3 weeks and developed severe rash allergy. The doctor recommended iodine 131, to which I did not agree. On June 1, 2010, she was diagnosed with transient hyperthyroidism caused by chronic lymphatic thyroiditis at the Department of Traditional Chinese Medicine and Endocrinology, Guang’anmen Hospital, Beijing Institute of Traditional Chinese Medicine. Treatment with soup and Chinese medicine hyperthyroidism April 11 Test results: Chinese name Result Reference range Total T3 2.67 0.58-1.59 Total T4 14.12 4.87-11.72 Free T3 8.08 1.71-3.71 Free T4 2.11 0.7-1.48 Thyroid stimulating hormone 0.001 0.35-4.94 Thyroid antiglobulin antibody 7.12 0-4.11 Thyroid anti-peroxidase antibody ＞1000.00 0-5.61 Aug. 4 test result Chinese name Result Reference range Total T3 1.69 0.58-1.59 Total T4 12.85 4.87-11.72 Free T3 4.88 1.71-3.71 Free T4 2.03 0.7-1.48 Thyroid hormone 0.001 0.35-4.94 Thyroid anti-globulin antibody 15.96 0-4.11 Thyroid anti-peroxidase antibody ＞1000.00 0-5.61 From the results, the indexes are closer to normal values. Wang Guiqi, Department of General Surgery, Shijiazhuang First Hospital: First of all, chronic thyroiditis may cause temporary elevation of T3 or T4 due to thyroid follicular necrosis and release of thyroid hormones into the blood, resulting in temporary hyperthyroidism, but it is not equivalent to primary hyperthyroidism and cannot be treated with iodine 131. However, it is not the same as primary hyperthyroidism and should not be treated with iodine 131. Most patients eventually develop hypothyroidism after several years due to thyroid atrophy, highly altered follicular epithelium and fibrosis, or even permanent hypothyroidism. If the gland is hard and large, even if the thyroid function is normal, thyroid preparations should be applied and maintained for two years after the gland has shrunk. Patient: Dr. Wang: So what tests should I have to determine the status of my thyroid gland? Shijiazhuang First Hospital, Department of General Surgery, Wang Guiqi: It is enough to review thyroid function regularly (i.e. your previous tests). If your symptoms disappear, you can gradually reduce the amount of western medicine until you stop using it, and then use Chinese medicine to consolidate the effect, and if your thyroid function is within the normal range, you can reduce the amount of Chinese medicine and stop using it. Pay attention to regular review. If the gland enlarges faster in a short period of time, or if it is accompanied by pain, or if there are symptoms of pressure, short-term treatment with glucocorticoids (prednisone) can be applied. Patient: Dr. Wang: Hello, I recently had another full test of nail function. The latest test results on September 4 are as follows: Chinese name Results Reference range Total T3 1.10 0.58-1.59 Total T4 7.01 4.87-11.72 Free T3 2.87 1.71-3.71 Free T4 1.17 0.7-1.48 Thyroid stimulating hormone 0.006 0.35-4.94 Thyroid antiglobulin antibody 13.72 0-4.11 Thyroid anti-peroxidase antibody ＞1000.00 0-5.61 What kind of help do you want: Why are thyroid anti-globulin antibody and thyroid anti-peroxidase antibody still so high when T3 and T4 are already normal? What does it mean? Am I going to be okay?