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- W1979764007 abstract "The pituitary-thyroid axis of 12 acromegalic patients was evaluated by measurement of the serum concentrations (total and free) of thyroxine (T4), triiodothyronine (T3) and reverse T3 (rT3) and thyrotropin (TSH), growth hormone (GH) and prolactin (PRL) before and after iv stimulation with thyrotropin releasing hormone (TRH). Using an ultrasensitive method of TSH measurement (IRMA) basal serum TSH levels of the patients (0.76, 0.07-1.90 mlU/l) were found slightly, but significantly (P < 0.01), lower than in 40 healthy controls (1.40, 0.41-2.50 mlU/l). The total T4 levels (TT4) were also reduced (84,69-106 nmol/l vs 100, 72-156 nmol/l, P < 0.01) and significantly correlated (P < 0.02, R=0.69) to the TSH response to TRH, suggesting a slight central hypothyroidism. The acromegalics had, however, normal serum levels of TT3 (1.79, 1.23-2.52 nmol/l vs 1.74, 0.78-2.84 nmol/l, P > 0.10), but significantly decreased levels of TrT3 (0.173, 0.077-0.430 nmol/l vs 0.368, 0.154-0.584 nmol/l, P < 0.01) compared to the controls. The serum concentration of the free iodothyronines (FT4, FT3, FrT3) showed similar differences between acromegalics and normal controls. All the acromegalics showed a rise of serum TSH, GH and PRL after TRH. Positive correlation (P < 0.05, R=0.59) was found between the TSH and GH responses, but not between these two parameters and the PRL response to TRH." @default.
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- W1979764007 date "1988-12-01" @default.
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- W1979764007 title "The Pituitary-Thyroid Axis in Acromegaly" @default.
- W1979764007 doi "https://doi.org/10.1055/s-2007-1010940" @default.
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