R C.P.C. - jaclap.org

1 Lab Clin Pract. 26(1) 46-52(2008) 46 Reversed 54 1 5 ( ) ( ) (K ) (ACE ) ( ) ( ) 5 ( 1) Alb ChE 96 mg/dl UN CRE AST/ ALT 200/89 U/l LD (1,569 U/l) LD/AST CK 5,236 U/l CK/AST ( ) dsDNA Jo-1 neuropathy CK TSH 200 U/ml FT3 pg/ml FT4 ng/dl ( 1, 2) Levothyroxine Na(T4)

2 ( S)25 g/ 2 150 g/ CK 2 a ( ) ( ) ( ) 1) ( 3) b 1)2) (1) (puffy) ( ) hypothyroid coma( ) (2) 54 47 1 6 1 2 3 WBC 103/ l RBC 106/ l HGB g/dl HCT % MCV fl MCH pg MCHC % PLT

3 194 339 103/ l 1117071 % RPI 5-Baso % 5-Eosino % 5-Neutro % 5-Neutro 103/ l 5-Lymph % 5-Lymph 103/ l 5-Mono % APTT PT-INR

4 TP g/dl g/dl CRP mg/dl mg/dl mg/dl mg/dl mg/dl mg/dl Na 138 146 mmol/l 135140142139 140 K mmol/l Cl 99 109 mmol/l 103105104106 107 100 150 g/dl 78 128 219 mg/dl 182166 HDL 40 96 mg/dl 566039 49 LDL 60 140 mg/dl 948761 49 30 149 mg/dl 796547 58

5 Mg/dl ALP 115 359 U/l 210295375307 268 GT 10 47 U/l 39743632 34 214 466 U/l 139111 AST 13 33 U/l 372002825 23 ALT 6 30 U/l 36891720 19 LD 119 229 U/l 4721569301292 198 CK 62 287 U/l 5236191 105 BB 0 2 % 0 MB 0 3 % 2 MM 96 100 % 98 70 109 mg/dl 10996101122 109 A1c % - 40 40 dsDNA IU/ml Jo-1 index B1

6 20 50 ng/ml 30 B12 180 914 pg/ml 776 pH 6 ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) Lab Clin Pract. (2008) 48 2 3 2 3 TSH U/ml 200 200 FT3 pg/ml FT4 ng/dl (GH) ng/ml LH mIU/ml FSH mIU/ml ACTH pg/ml 19 (PRL) ng/ml ADH( )

7 Pg/ml C 106 398 ng/ml 63 ng/ml 218 U/ml TPO U/ml 100 pg/ml 26 100 450 pg/ml 344 20 pg/ml 95 ng/ml/h g/dl 36 240 pg/ml 52 3 1) ( ) (1) ( ) ( ) ( ) (2) ( ) 2) (1) ( ) (TSH ) TSH (Sheehan ) (2) ( ) TRH 3) Refetoff 4) thyrotoxicosis ( ) (myxedema madness) ( carpal tunnel syndrome) (3) (hung-up reflexes) (mound- 54 49 ing phenomenon)

8 Kocher-Debre-Semelaigne or Hoffmann syndrome( ) (4) ( ) ( ) (5) (myxedema heart) (6) (myxedema ileus) (7) (8) (9) ( ) ( ) (10) c ( 4) TSH T4 ( ) ( TPO ) ( Tg ) TSH TBII(TSH-binding inhibitory immunoglobulin) TSH FT4 FT3 TSH d ( 5) (1) (T-Chol TG LDL HDL ) (2) ( ) 3 a % % (TSH FT4 ) % % (TSH FT4 ) % % 200 300 1 20 30 1 4 a) b) T4 TSH : a) b) 1 ( ) ( TPO) 2 TSH 3 4 5 ( 7 ) Lab Clin Pract.

9 (2008) 50 5 ( ) ( ) T-Chol TG ( type IIa IIb) (CK-MM LD AST) Na Ca Mg UA GFR ANP Glu oGTT ZTT TTT B12 (20 50 mm/hr) CRP CEA -globulinn (TPO) X ( ) ( ) T ( 2 ) 3) 35 5 1 TSH b ( 6) 4) c T-Cho (TSH 10 U/ml) (TSH 10 50 U/m) % % LDL 7 -hydro-xylase 54 51 6 1) 2) 3) CK LD 4)