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Thyroid T4 Levels/Relationship To HIV?
Feb 20, 2001

If someone was infected with HIV, would a Thyroid Panel Test indicate infection due to lower than normal levels of Total T4? Is there any relationship between Thyroid T4 and the T4 cells that are affected from HIV? I am a 30 year old male and my Thyroid Panel Levels from a recent physical exam are as follows: T4-Total=14.2 (high)

T4-Free/Calculated= 4.16 (high)

T3 Uptake=29.3 (within range)

and TSH=0.54(low/normal).

My Doc wants me to visit an Endocrinologist because of possible Hyperthyroidism now. I'd just like to know if there's a possibility of HIV infection with Thyroid levels this high? Also, what time-frame from initial infection until late-stage HIV would these levels be affected...if there's any relationship between Thyroid T4 and HIV-related T4 count? One more thing...I don't know if this is of any concern, but my MCH level was 33.9 pg and my Iron was 196. I did not *completely* fast before the physical and I'm hoping that's the reason for the elevated Iron level. Sorry this is so long. Keep up the great work with this fantastic web-site.

Response from Dr. Bartlett

Your thyroid panel and HIV should have no connection. Rarely patients with HIV infection can get hyperthyroidism after they begin antiretroviral treatment.



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