Correlation between thyroxine, triiodothyronine and thyrotropin in geriatric patients with goitre. 1990

B Varl, and K Pavlin
University Clinic for Nuclear Medicine, Ljubljana, Yoguslavia.

Serum TSH, T4 and T3 have been assayed in three groups of older persons (greater than 60 years): in 28 normal subjects (A), in 80 patients with nontoxic goitre (B), in 22 patients with hyperthyroidism (C). Group B was divided in group B-1 (TSH 0.20-0.30 mU/l) and group B-2 (TSH greater than 0.30 mU/l). The test characteristics were determined by comparison of group C patients with group A patients and the former with group B patients. The specificity and posterior probability of TSH test calculated by the first comparison was 1.0 for both characteristics, and by the second comparison TSH test specificity was 0.75 and posterior probability 0.62. Specificity of thyroid hormones calculated in the second comparison was 0.96 for T4-test and 0.94 for T3-test. Therefore TSH test is the most adequate in clinical diagnostic of thyrotoxic goiter. The particularities of several groups were: B-2 group had significantly lower mean value of T4 than Group A, but there was no significant difference between mean values of TSH found. There were no correlations between TSH and T4 and between T4 and T3. Group B-1 had significantly lower mean TSH value than Group A and Group B, but the groups did not differ in mean T4 value. The correlation between TSH and T4 in group was positive as the correlation between T4 and T3. It is suggested that the value of serum T4 of Group B-1 may be inappropriately low due to defective immunological activity of T4 from autonomous follicles.(ABSTRACT TRUNCATED AT 250 WORDS)

UI MeSH Term Description Entries
D006980 Hyperthyroidism Hypersecretion of THYROID HORMONES from the THYROID GLAND. Elevated levels of thyroid hormones increase BASAL METABOLIC RATE. Hyperthyroid,Primary Hyperthyroidism,Hyperthyroidism, Primary,Hyperthyroids
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D005260 Female Females
D006042 Goiter Enlargement of the THYROID GLAND that may increase from about 20 grams to hundreds of grams in human adults. Goiter is observed in individuals with normal thyroid function (euthyroidism), thyroid deficiency (HYPOTHYROIDISM), or hormone overproduction (HYPERTHYROIDISM). Goiter may be congenital or acquired, sporadic or endemic (GOITER, ENDEMIC). Goiters
D006706 Homeostasis The processes whereby the internal environment of an organism tends to remain balanced and stable. Autoregulation
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D013960 Thyroid Function Tests Blood tests used to evaluate the functioning of the thyroid gland. Jostel's TSH Index,Jostel's Thyrotropin Index,Protein-Bound Iodine Test,SPINA-GD,SPINA-GT,Secretory Capacity of the Thyroid Gland,Sum Activity of Peripheral Deiodinases,Thyrotroph Thyroid Hormone Sensitivity Index,Thyroid Gland Function Tests,Function Test, Thyroid,Iodine Test, Protein-Bound,Jostel TSH Index,Jostel Thyrotropin Index,Jostel's TSH Indices,Jostels TSH Index,Jostels Thyrotropin Index,Protein Bound Iodine Test,Protein-Bound Iodine Tests,TSH Index, Jostel's,Test, Protein-Bound Iodine,Test, Thyroid Function,Thyroid Function Test,Thyrotropin Index, Jostel's
D013967 Thyroiditis, Autoimmune Inflammatory disease of the THYROID GLAND due to autoimmune responses leading to lymphocytic infiltration of the gland. It is characterized by the presence of circulating thyroid antigen-specific T-CELLS and thyroid AUTOANTIBODIES. The clinical signs can range from HYPOTHYROIDISM to THYROTOXICOSIS depending on the type of autoimmune thyroiditis. Autoimmune Thyroiditis,Thyroiditis, Lymphocytic,Thyroiditis, Lymphomatous,Autoimmune Thyroiditides,Lymphocytic Thyroiditides,Lymphocytic Thyroiditis,Lymphomatous Thyroiditides,Lymphomatous Thyroiditis,Thyroiditides, Autoimmune,Thyroiditides, Lymphocytic,Thyroiditides, Lymphomatous

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