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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1985-6-13
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pubmed:abstractText |
Tests of thyroid function and pathology were carried out on 133 patients before they were treated with lithium (Li+). Of the 12 patients who subsequently became hypothyroid during treatment with lithium 9 had, before the commencement of treatment, thyroid autoantibodies and/or an exaggerated thyroid stimulating hormone (TSH) response to thyrotropin releasing hormone (TRH), whereas 3 patients had neither of these indicators. Lithium administration was accompanied by a rise in thyroid antibody titre in 20 patients but a fall in only 5, a statistically significant difference. Evidence that it may be an immunostimulant is discussed. Li+-induced thyroid failure cannot be accurately predicted, and may occur suddenly. The best minimum safeguard, therefore, is serial thyroxine (T4) (or free T4) estimation, supplemented if equivocal by a free thyroxine index (FTI), a basal TSH and, if doubt remains, by a TRH test.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Antibodies, Antinuclear,
http://linkedlifedata.com/resource/pubmed/chemical/Autoantibodies,
http://linkedlifedata.com/resource/pubmed/chemical/Lithium,
http://linkedlifedata.com/resource/pubmed/chemical/Thyrotropin,
http://linkedlifedata.com/resource/pubmed/chemical/Thyrotropin-Releasing Hormone
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0033-2917
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
15
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
55-61
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:3922008-Antibodies, Antinuclear,
pubmed-meshheading:3922008-Autoantibodies,
pubmed-meshheading:3922008-Bipolar Disorder,
pubmed-meshheading:3922008-Depressive Disorder,
pubmed-meshheading:3922008-Follow-Up Studies,
pubmed-meshheading:3922008-Humans,
pubmed-meshheading:3922008-Hypothyroidism,
pubmed-meshheading:3922008-Lithium,
pubmed-meshheading:3922008-Psychotic Disorders,
pubmed-meshheading:3922008-Thyroid Function Tests,
pubmed-meshheading:3922008-Thyroid Gland,
pubmed-meshheading:3922008-Thyrotropin,
pubmed-meshheading:3922008-Thyrotropin-Releasing Hormone
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pubmed:year |
1985
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pubmed:articleTitle |
A prospective study of the effects of lithium on thyroid function and on the prevalence of antithyroid antibodies.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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