Læknablaðið : fylgirit - 01.05.1982, Side 13

Læknablaðið : fylgirit - 01.05.1982, Side 13
11 1) Patients (104) who underwent subtotal thyroidectomy several years prior to the Study. 2) Patients (23) who were given radioiodine as a treatment for thyreotoxicosis. 3) Subjects (10) with normal thyroid function but circulating thyroid antibodies. 4) Control group (107). The TSH values for euthyroid subjects post thyroidectomy and post radioiodine were signi- ficantly higher than in the control group. Sub- jects with circulating thyroid antibodies had an increased response to TRH compared to con- trols. It is concluded that TSH is mainly useful for excluding hypothyroidism, and euthyroid subjects can have elevated TSH values up to 30 ag/ml. Those subjects though run a higher risk of developing hypothyroidism later on than subjects with low TSH. HEIMILDIR 1. Aiexander, W.D., Gudmundsson, Th.V., Bluhm, Harden, RjMc G.: Studies of Iodine Metabolism in Iceland. Acta Endocrinologi- ca 46 (1964) 679-683. 2. Crooks, J., Tulloch, M.I., Turnbull, A.C., Davidsson, D., Skúlason, T., Snædal, G.: Comparative Incidence of Goitre in Preg- nancy in Iceland and Scotland. 3. Everet, D. et al.: British Medical Journal. 1973. 4. 129. 4. Hedley, A.J., Thjodleifsson, B., Donald D., Swanson Beck, J., Crooks, J., Chesters, M.I., Hall, R.: Thyroid Function in Normal Sub- jects in Iceland and Northeast Scotland. Clinical Endocrinology (1977), 7, 377-382. 5. Himsworth, R.K., Fraser, P.H.: British Medical Journal 1973, 2, 295. 6. Lundström, B., Gillquist, J., Karlberg, B., Kágedal, B. & Tegler, L.: Thyroid Function after Subtotal Resection for Hyperthyroid- ism: A Prospective Study. European Jour- nal of Clinical Investigation (1978) 8, 46-52. 7. Sigurjónsson, J.: Structure and iodine con- text of thyreotoxic goiters in Iceland. Ame- rican Journal of Pathology, 26, 1103-1113. 8. Thjodleifsson, B.: A Study of Graves Dis- ease in Iceland. Acta Med. Scand. Vol. 198, 309-314, 1975. 9. Thjodleifsson, B., Hedley, A.J., Donald, D., Chesters, M.I., Kjeld, M., Swanson Beck, Crooks, J., Michie, W., Hall, R.: Outcome of sub-total Thyroidectomy for Thyreo- toxicosis in Iceland and Northeast Scotland. Clinical Endocrinology (1977) 7, 367-376. 10. Tulloch, M.I.: Faetors affecting thyroid function in human pregnancy. Ph.D. Thesis, 1966, University of Aberdeen. 11. Wilkin, T., Storey, B.E., Isles, T.E., Crooks, J„ Swanson Beck, J.: High TSH concen- tration in „euthyroidism": explanation based on control loop theory. British Medi- cal Journal 1977, 1, 993-996.

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