[Serum ratios of triiodothyronine to thyroxine and reverse-triiodothyronine in Graves' disease and destruction-induced thyrotoxicosis].
نویسندگان
چکیده
In order to determine the frequency of thyroxine (T4) toxicosis and study the possibility of usefulness for differentiation between thyrotoxic Graves' disease and destructioninduced thyrotoxicosis, the serum concentrations of T4, triiodothyronine(T3), reverse T3 (rT3), and T4-binding globulin (TBG) and the values of T3-uptake and radioactive iodine uptake (RAIU) were measured, and free, T4 index (FT4I), free T3 index(FT3I) and serum ratios of T3 to T4 (T3 /T4 ratio) and T3 to rT3 (T3 /rT3 ratio) were calculated in 92 untreated patients with thyrotoxic Graves' diseas (16 with other systemic illnesses and 4 who were pregnant) and 14 patients with destruction-induced thyrotoxicosis (4 with subacute thyroiditis, 8 with postpartum transient thyrotoxicosis, 1 with silent thyroiditis and 1 with chronic thyroiditis with subacute aggravation). The serum concentrations of T4 and T3 and the values of FT4 I, FT3 I, T3/T4 ratio and T3 /rT3 ratio were significantly lower in Graves' patients complicated with other systemic illnesses than those in Graves' patients without any complication. The serum concentrations of T4 , T3 , rT3 and TBG and the values of FT4 I, FT3 I, T3 /T4 ratio, T3 /rT3 ratio and RAIU in elderly (over the age of 61 years) patients with Graves' disease without any complication were not significantly different from
منابع مشابه
Relevance of increased serum thyroxine concentrations associated with normal serum triiodothyronine values in hypothyroid patients receiving thyroxine: a case for "tissue thyrotoxicosis".
Fifteen patients receiving standard thyroxine replacement therapy (100-200 micrograms daily) for primary hypothyroidism and who had persistently raised free thyroxine concentrations in their serum were investigated to see whether the dose being given was too high. In addition to the usual thyroid hormone assays systolic time intervals (which indicate left ventricular contractility) were calcula...
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Differentiating Graves' disease from subacute thyroiditis using ratio of serum free triiodothyronine to free thyroxine
BACKGROUND The measurement of free thyroid hormone, instead of the total form, is more commonly used in current practice. We aimed to evaluate the usefulness of the ratio of serum free triiodothyronine (FT3, pg/mL) to free thyroxine (FT4, ng/dL) for differentiating Graves' disease from subacute thyroiditis. MATERIALS AND METHODS Medical records of thyrotoxic patients aged >15 years who had me...
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Introduction: Thyroid hormones are involved in the regulation of hydrogen sulfide (H2S) biosynthesis. The aim of this study is to determine effects of thyrotoxicosis on H2S levels and mRNA expression of cystathionine-β-synthase (CBS), cystathionine-γ-lyase (CSE) and 3-mercaptopyruvate sulfurtransferase (3-MST) in the adipose tissue of rat. Materials and Methods: Male rats were divided into the ...
متن کاملRatio of serum free triiodothyronine to free thyroxine in Graves' hyperthyroidism and thyrotoxicosis caused by painless thyroiditis.
The serum T3 to T4 ratio is a useful indicator for differentiating destruction-induced thyrotoxicosis from Graves' thyrotoxicosis. However, the usefulness of the serum free T3 (FT3) to free T4 (FT4) ratio is controversial. We therefore systematically evaluated the usefulness of this ratio, based on measurements made using two widely available commercial kits in two hospitals. Eighty-two untreat...
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ورودعنوان ژورنال:
- Nihon Naibunpi Gakkai zasshi
دوره 59 1 شماره
صفحات -
تاریخ انتشار 1983