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Diagnosed Having Sub-clinical Hypothyroidism. Suggestions

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Posted on Mon, 3 Jun 2013
Question: hello doctor ,

I went to India recently to address all my problems.
My endocronologist confirmed that i had sub-clinical hypothyroidism. she already started treatment with low dose.She also did tests for other autoimmune diseases.

My full XXXXXXX profile is completely negative. She also did tests for RA . Which includes anti-CCP, SED rate and RF. RF and SED rate are OK but my anti-CCP is 21.9 .

When I asked her whether I only have thyroid problem, she replied saying YES. She asked me whether I had any joints problem.I told I don't have any but i said I have low back pain. She told everything was ok with me except thyroid.


Please go through these reports and tell me whether I had any autoimmune diseases. Also clarify me whether I had RA .


with regards, XXXXXXX
doctor
Answered by Dr. Dr. Rahul Kumar (1 hour later)
Hello,
Thanks for the query.
Anti CCP is actually a marker of scleroderma.
However sometimes even in thyroid disorders it can be raised.

To know whether it is scleroderma or not, you need to repeat test.
A rise in titres with associated symptoms may suggest scleroderma.

Let me know if you have any other doubts.

Thank you
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rahul Kumar (13 minutes later)
hello doctor.thank for your reply. My doctor told me that I don't have any autoimmune disease except my thyroid problem. She also told me that a slight raise in anti-ccp is associated with different things and assured me that it is not related to auto-immune diseases. i am getting hives e veryday since an year. she told my hives might be due to my thyroid problems.


Can you tell me whether you think i really had autoimmune. Except for slight thyroid anti-bodies and slight increase in ant-ccp, all my tests for autoimmune are normal.

Do you think this anti-ccp value with slight elevation are significant. Also go through my reports.
doctor
Answered by Dr. Dr. Rahul Kumar (2 hours later)
Hello Mr XXXXXXX
Thanks for the follow up.
I have gone through your reports.

Your doctor is correct in saying that mild elevation in anti CCP might be normal or may be even related to thyroid.

Also hives is a proven associate of thyroid disease.

That's why I asked you to get the titres done again and also to notice the symptoms of disease.

As for now I wont say that you have an autoimmune disease.

Thank you
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Rahul Kumar

Dermatologist

Practicing since :2010

Answered : 6634 Questions

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Diagnosed Having Sub-clinical Hypothyroidism. Suggestions

Hello,
Thanks for the query.
Anti CCP is actually a marker of scleroderma.
However sometimes even in thyroid disorders it can be raised.

To know whether it is scleroderma or not, you need to repeat test.
A rise in titres with associated symptoms may suggest scleroderma.

Let me know if you have any other doubts.

Thank you