Havard C W, Saldanha V F, Bird R, Gardner R
Br Med J. 1970 Feb 7;1(5692):337-9. doi: 10.1136/bmj.1.5692.337.
In ten patients with hypothyroidism the adrenal response to stimulation with tetracosactrin was found to be normal, and to be unchanged after they had been treated with thyroxine. Though the response to insulin hypoglycaemia was less in the hypothyroid phase, it was never outside the normal limits. Hence it seems unlikely that the adrenal response to stress is appreciably lowered in hypothyroidism.
在10例甲状腺功能减退患者中,发现他们的肾上腺对二十四肽促皮质素刺激的反应正常,并且在接受甲状腺素治疗后该反应无变化。虽然在甲状腺功能减退阶段对胰岛素低血糖的反应较弱,但从未超出正常范围。因此,甲状腺功能减退时肾上腺对应激的反应似乎不太可能明显降低。