McNamara M E, Southwick S M, Fogel B S
J Clin Psychiatry. 1987 Apr;48(4):164-5.
Two patients are described who presented with depression and were later found to have both obstructive sleep apnea and hypothyroidism. Both patients had normal thyroxine (T4) levels but elevated thyroid-stimulating hormone (TSH) levels. Thyroid replacement led to resolution of both apnea and depression. The possibility of hypothyroidism as a cause of sleep apnea and depression is discussed.
本文描述了两名患者，他们最初表现为抑郁，后来被发现同时患有阻塞性睡眠呼吸暂停和甲状腺功能减退症。两名患者的甲状腺素（T4）水平正常，但促甲状腺激素（TSH）水平升高。甲状腺替代治疗使呼吸暂停和抑郁症状均得到缓解。本文还讨论了甲状腺功能减退症作为睡眠呼吸暂停和抑郁病因的可能性。
