How is Graves’ disease diagnosed

[Vbgr]

Hello, I am told I have Graves’ disease. On NHS choices it says=- this is an autoimmune condition, which means the immune system mistakenly attacks the body. In Graves’ disease it attacks the thyroid and causes it to become overactive. My tests for antibodies are. Thyroglobulin antibody 10 Ranges. 000. - 115.00

Thyroid peroxide antibodies. 9. Ranges. 000. - 34.00

With carbimazole I am now at the low end of TSH ranges.

Can I have graves with these results, and how can one diagnose graves.

Thank you Val

[greygoose]

TSI antibodies. He's tested the wrong ones. Happens all the time!

[Vbgr in reply to greygoose]

Unfortunately, I don’t understand what you mean. Pretty dim me.

What ones should be tested please to diagnose graves. Val

[greygoose in reply to Vbgr]

TSI antibodies. That's the test for Grave's. He has tested TPO antibodies and Tg antibodies, which are Hashimoto's. So, you don't have Hashimoto's, but he hasn't tested for Grave's.

[Vbgr]

If I go for a private blood test do I just ask for a TSI antibody Test. Will it tell me if I have Graves?

Thanks

[Clutter in reply to Vbgr]

Vbgr,

If you have thyroid eye disease (TED) you have Graves Disease. If not, you need a thyroid stimulating immunoglobulin (TSI) antibody test or thyroid receptor antibody test (TRab) to determine whether you have autoimmune Graves causing your hyperthyroidism.

[Vbgr in reply to Clutter]

Thank you Clutter. Am I right in thinking you cannot have TED without Graves.

[Clutter in reply to Vbgr]

Vbgr,

Yes.

[Vbgr in reply to Clutter]

Do you know who provides these please, medichecks don’t and blue horizon no results for TSI and Trab

[Clutter in reply to Vbgr]

Vbgr,

I'm afraid not. You could ask BlueHorizon if they do the tests or can recommend where to get them done.

[humanbean]

Medichecks does this test for TRab :

medichecks.com/tests/tsh-re...

I don't know if it is helpful.

[ITYFIALMCTT in reply to humanbean]

Looks like it and probably worth Vbgr phoning to check with them.

[Vbgr]

Thanks for info. Unfortunately I have had what they offer and it seems inconclusive with the results. Have asked horizon to email me. Will ask where they would advise me to get them. I would like to know if I really do have Graves.

[helvella Administrator in reply to Vbgr]

What was your TSH Receptor Stimulating Antibody Test result?

[Vbgr in reply to helvella]

Hi, thyroglobulen antibody 10. Range. 000. - 115

Thyroid peroxidase antibodies 9. Range 000. - 34 00

Does this mean I am unlikely to have Graves or do I need to look at other tests. Thanks

[helvella Administrator in reply to Vbgr]

Those are different tests and say absolutely nothing about whether or not you have Graves. The TSH Receptor Stimulating Antibody Test linked to earlier is appropriate.

[Vbgr in reply to helvella]

All I have is the following info

TSH 0. 116. Range 0.27. - 4.20

Free thyroxine. 12.5. Range. 12. 00. - 22.00

Total thyroxine. 78.00 Range. 59.00. - 154.00

Free T3 3.61. Range. 3.10. - 6.80

Are these any indication. Thanks Val

[Vbgr in reply to Vbgr]

Earlier I had TSH receptor antibodies

Anti-TSH receptor Abs. IU/1. Ref Range 0- 2 IU/1

This assay does not differentiate between stimulating and blocking Abs.

At that time I had T4 at 48.1 Range 12.0. -22.0

[juliecressey]

Hi have graves and TED just switched to NDT I have arranged a full thyroid check plus 15 (ferratin etc) this is sent to you as a postal kit - TSI receptor antibodies is a separate payment to blue horizon but it is not postal and you have to go to a specified lab to get it done which blue horizon recommed i am due to go to London next week x

[Vbgr in reply to juliecressey]

Thank you, I will enquire about cost Julie.