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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8
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pubmed:dateCreated |
1984-3-23
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pubmed:abstractText |
TRH tests (500 micrograms, i.v. bolus) were performed in 15 patients with various hypothalamic or pituitary disorders and in 6 control subjects. TSH (highly sensitive RIA) and T3 were measured before and 30, 60, 90 and 120 min. after TRH. In 8 out of 15 patients, low circulating thyroid hormone levels were observed, but their basal TSH levels were all in the normal range or even higher (0.8 - 5.5 microU/ml). Further, their integrated TSH responses (38 +/- 21 microU/ml) did not differ significantly from those of control group (35 +/- 16 microU/ml). Except for 2 cases with hypothalamic hypothyroidism, T3 increments after TRH were found consistently lower than 5 ng/dl in these hypothyroid patients. One of them revealed significant elevations of T3, T4 and thyroid 99mTc-pertechnetate uptake after 5 I.U. x 2 i.m. bovine TSH. In 19 cases studied (2 cases with hypothalamic hypothyroidism were omitted), basal T3 levels were found to show quite a good correlation (r = 0.738) with T3 increments after TRH. Therefore, TSH values by radioimmunoassay in hypothalamo-pituitary disorders were considered not relevant to be the levels of a real thyroid stimulator, or they seemed to contain biologically inactive moieties. In conclusion, measurement of the TSH level and even the TRH-TSH test were found unreliable in diagnosing central hypothyroidism, and the TRH-T3 test appeared to give quite useful diagnostic information.
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pubmed:language |
jpn
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0029-0661
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
20
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pubmed:volume |
59
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1131-7
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pubmed:dateRevised |
2011-7-27
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pubmed:meshHeading |
pubmed-meshheading:6420209-Adolescent,
pubmed-meshheading:6420209-Adult,
pubmed-meshheading:6420209-Child,
pubmed-meshheading:6420209-Evaluation Studies as Topic,
pubmed-meshheading:6420209-Female,
pubmed-meshheading:6420209-Humans,
pubmed-meshheading:6420209-Hypothyroidism,
pubmed-meshheading:6420209-Male,
pubmed-meshheading:6420209-Middle Aged,
pubmed-meshheading:6420209-Radioimmunoassay,
pubmed-meshheading:6420209-Thyrotropin,
pubmed-meshheading:6420209-Thyrotropin-Releasing Hormone,
pubmed-meshheading:6420209-Triiodothyronine
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pubmed:year |
1983
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pubmed:articleTitle |
[Usefulness of the TRH-T3 test in the diagnosis of central hypothyroidism].
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pubmed:publicationType |
Journal Article,
English Abstract
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