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TSI is a test that measures the amount of TSI antibody in the blood.
Blood is drawn from a vein, usually from the inside of the elbow or the back of the hand. The puncture site is cleaned with antiseptic, and a tourniquet is placed around the upper arm to apply pressure and restrict blood flow through the vein. This causes veins below the tourniquet to fill with blood. A needle is inserted into the vein, and the blood is collected in an air-tight vial or a syringe. The tourniquet is then removed to restore circulation. After blood has been collected the needle is removed, and the puncture site is covered to stop any bleeding.
Infant or young child:
The area is cleansed with antiseptic and punctured with a sharp needle or a lancet. The blood may be collected in a pipette (small glass tube), on a slide, onto a test strip, or into a small container. A bandage may be applied to the puncture site if there is any bleeding.
No special preparation is usually necessary.
When the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing.
This test may be performed as part of the diagnostic work-up of Graves' disease , Hashimoto's Thyroiditis , or toxic multinodular goiter . TSI measurements are also performed in the third trimester of pregnancy to predict neonatal Graves' disease.
TSI is an antibody directed against the receptor for TSH on the thyroid gland. This antibody interacts with the receptor and mimics the action of the pituitary hormone TSH. Thus TSI stimulates the gland to secrete excessive amounts of thyroid hormone.
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