Colle M, Latapie M J, Battin J
Arch Fr Pediatr. 1986 Mar;43(3):183-6.
In order to appreciate the value of the dosage of thyroglobulin (Tg) in the reappraisal of the classification of hypothyroidism after the onset of substitutive treatment and the supervision of patients treated with L-thyroxin (LT), plasma Tg and FT4 levels were studied in 42 samples from 21 hypothyroid children (ages ranging from 18 months to 16 years) under LT treatment. These patients were divided into 2 groups according to the results of scanning: group I: a thyroid (n = 8) and group II: ectopic or hypoplastic thyroid gland (n = 13). A control group consisted of 60 apparently healthy children of the same ages. Tg was undetectable in 11 samples of 6 children but significant levels (6.8 to 17 ng/ml) were found in 5 samples of 2 children. In group II, Tg could be measured in 20 of 26 samples, the mean level (+/- SEM) not being different from that in the control group (14.32 +/- 2.25 and 18.12 +/- 1.28 ng/ml, respectively). However, in this group, Tg levels seemed to be lower (9.75 +/- 3.94 ng/ml) in samples from patients with LT excess than in euthyroid or hypothyroid patients whose values of Tg were 15.8 +/- 3.36 ng/ml and 16 +/- 3.91 ng/ml, respectively.
为了评估甲状腺球蛋白(Tg)剂量在替代治疗开始后重新评估甲状腺功能减退分类以及监测左甲状腺素(LT)治疗患者中的价值,我们对21例接受LT治疗的甲状腺功能减退儿童(年龄范围为18个月至16岁)的42份样本中的血浆Tg和FT4水平进行了研究。这些患者根据扫描结果分为两组:第一组:有甲状腺(n = 8),第二组:异位或发育不全甲状腺(n = 13)。一个对照组由60名年龄相同的明显健康儿童组成。6名儿童的11份样本中未检测到Tg,但2名儿童的5份样本中发现了显著水平(6.8至17 ng/ml)。在第二组中,26份样本中的20份可以测量Tg,其平均水平(+/- SEM)与对照组无差异(分别为14.32 +/- 2.25和18.12 +/- 1.28 ng/ml)。然而,在该组中,LT过量患者样本中的Tg水平似乎低于甲状腺功能正常或甲状腺功能减退患者,后者的Tg值分别为15.8 +/- 3.36 ng/ml和16 +/- 3.91 ng/ml。