T3 kinetics in euthyroid Graves' disease patients who exhibit hyper-responsiveness to TRH after radioiodine treatment. 1981

C Jaffiol, and L Baldet, and C L Missonne, and C Papachristou

A major reduction in T3 turnover has been demonstrated previously in clinically hypothyroid patients. We have used non-compartmental (NC) and monocompartmental (MC) analysis to study ten patients with Graves' disease who, following treatment with radioactive iodine (RAI), are now clinically euthyroid but who showed hyper-responsiveness to TRH although serum T3 and T4 concentrations are within the normal range. T3 production rate (PR), metabolic clearance rate (MRC) and fractional-turnover (K) were all significantly reduced in patients compared with seven controls (P less than 0.01). T3, MCR and PR were consistently higher, and T3 K lower, when calculated by MC, than values calculated by NC analysis. The difference in T3 production rates between patients (mean 16.6 nmol/day) and controls (mean 38.9 nmol/day) raises the question of replacement therapy in patients who are apparently euthyroid but TRH hyper-responsive.

UI MeSH Term Description Entries
D007457 Iodine Radioisotopes Unstable isotopes of iodine that decay or disintegrate emitting radiation. I atoms with atomic weights 117-139, except I 127, are radioactive iodine isotopes. Radioisotopes, Iodine
D007700 Kinetics The rate dynamics in chemical or physical systems.
D008297 Male Males
D008657 Metabolic Clearance Rate Volume of biological fluid completely cleared of drug metabolites as measured in unit time. Elimination occurs as a result of metabolic processes in the kidney, liver, saliva, sweat, intestine, heart, brain, or other site. Total Body Clearance Rate,Clearance Rate, Metabolic,Clearance Rates, Metabolic,Metabolic Clearance Rates,Rate, Metabolic Clearance,Rates, Metabolic Clearance
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D005260 Female Females
D006111 Graves Disease A common form of hyperthyroidism with a diffuse hyperplastic GOITER. It is an autoimmune disorder that produces antibodies against the THYROID STIMULATING HORMONE RECEPTOR. These autoantibodies activate the TSH receptor, thereby stimulating the THYROID GLAND and hypersecretion of THYROID HORMONES. These autoantibodies can also affect the eyes (GRAVES OPHTHALMOPATHY) and the skin (Graves dermopathy). Basedow's Disease,Exophthalmic Goiter,Goiter, Exophthalmic,Graves' Disease,Basedow Disease,Hyperthyroidism, Autoimmune,Basedows Disease,Disease, Basedow,Disease, Basedow's,Disease, Graves,Disease, Graves',Exophthalmic Goiters,Goiters, Exophthalmic
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly

Related Publications

C Jaffiol, and L Baldet, and C L Missonne, and C Papachristou
September 1978, The Journal of clinical endocrinology and metabolism,
C Jaffiol, and L Baldet, and C L Missonne, and C Papachristou
April 1974, The Journal of clinical endocrinology and metabolism,
C Jaffiol, and L Baldet, and C L Missonne, and C Papachristou
January 1978, Nihon Naibunpi Gakkai zasshi,
C Jaffiol, and L Baldet, and C L Missonne, and C Papachristou
January 1978, Archivio "E. Maragliano" di patologia e clinica,
C Jaffiol, and L Baldet, and C L Missonne, and C Papachristou
January 2011, Presse medicale (Paris, France : 1983),
C Jaffiol, and L Baldet, and C L Missonne, and C Papachristou
October 1973, Acta medica Scandinavica,
C Jaffiol, and L Baldet, and C L Missonne, and C Papachristou
October 1973, Endocrinologia japonica,
C Jaffiol, and L Baldet, and C L Missonne, and C Papachristou
April 1983, Boletin de la Asociacion Medica de Puerto Rico,
C Jaffiol, and L Baldet, and C L Missonne, and C Papachristou
May 2008, Thyroid : official journal of the American Thyroid Association,
Copied contents to your clipboard!