The following data was collected from a thyroid profile for

The following data was collected from a thyroid profile for patient seeking help with a thyroid condition: thyroid hormones (T3, T4) levels - low

TSH levels - low
TRH levels - high

What would be the correct diagnosis?

a. primary hypothyroidism

b. secondary hypothyroidism due to a pituitary problem

c. primary hyperthyroidism

d. secondary hyperthyroidism due to a hypothalamic problem

e. secondary hypothyroidism due to a hypothalamic problem

Solution

b. secondary hypothyroidism due to a pituitary problem as the

(T3, T4) levels - low ,TSH levels - low ,TRH levels - high .In these cases the pituatary gland does not make enough of TSH to stimulate the thyroid gland and hence the thyroid gland cannot produce the other hormones.