ELEVATED PSEUDOCHOLINESTERASE LEVELS IN HYPERTHYROIDISM
Background : Serum Pseudocholinesterase levels are used as an indicator of exposure to various insecticide poisoning. Pseudocholinesterase is a glycoprotein enzyme, produced by liver and circulating in plasma. Pseudocholinesterase plays a role in metabolic degradation of exogenous choline ester drugs. Studies have also shown association of many pathological conditions such as liver disease, obesity, nodular goitre with Pseudocholinesterase levels. The present study was carried out to evaluate the serum Pseudocholinesterase levels in newly diagnosed hypothyroid and hyperthyroid patients. Methodology : A Case control study was done on newly diagnosed hypothyroid and hyperthyroid patients (17 hypothyroid and 17 hyperthyroid patients and 17 healthy volunteers) Results: The age group of the population under study was 20-40 years. The serum levels of TSH in normal, hypothyroid and hyperthyroid groups were 2.5±1.0 uIU/mL, 13±7.3 uIU/mL and 0.22±0.15 uIU/mL. The serum values of Pseudocholinesterase in normal, hypothyroid and hyperthyroid groups were 4038±1157U/L, 4663±1376U/L, 13781±1840U/L respectively, Serum Pseudocholinesterase levels showed signicant increase (3.4 times higher than normal) in hyperthyroid group (p<0.0001). We found a signicant negative correlation between serum Pseudocholinesterase levels and TSH levels (Spearman r coefcient = -0.5; p<0.0001) Conclusion: High Serum Pseudocholinesterase levels can be used as an indicator to screen disruption in thyroid activity.