Kucera M, Brabcová H
I. interní klinika KUNZ FN Plzen.
Vnitr Lek. 1990 Nov;36(11):1062-5.
The authors made in patients with confirmed or classical rheumatoid arthritis, using RIA, functional tests of the thyroid gland, i.e. tetra-, triiodothyronine and thyroid stimulating hormone. While deviations of tetraiodothyronine levels from normal very rare, a reduction of triiodothyronine was recorded in 50% and of TSH in 27.2%. Clinically manifest thyropathy, i.e. hyperthyroidism was found only in one female patient. The authors investigated changes in the values of the above tests in the course of rheumatoid arthritis and a dysbalance in the regulation of thyroid functions. The investigation comprises also a group of 18 subjects with rheumatoid arthritis where antibodies against the thyroid gland were assessed. The latter were elevated in two patients.
作者对确诊或典型类风湿性关节炎患者使用放射免疫分析法(RIA)进行甲状腺功能测试,即测定甲状腺素、三碘甲状腺原氨酸和促甲状腺激素。虽然甲状腺素水平偏离正常的情况非常罕见,但记录到50%的患者三碘甲状腺原氨酸水平降低,27.2%的患者促甲状腺激素水平降低。临床上仅在一名女性患者中发现了明显的甲状腺病,即甲状腺功能亢进。作者研究了类风湿性关节炎病程中上述测试值的变化以及甲状腺功能调节失衡情况。该研究还包括一组18名类风湿性关节炎患者,评估了他们的甲状腺抗体。其中两名患者的甲状腺抗体升高。