Adams D D, Kennedy T H, Stewart R D
Br Med J. 1974 Apr 27;2(5912):199-201. doi: 10.1136/bmj.2.5912.199.
Out of 50 consecutive untreated patients with diffuse toxic goitre 15 showed long-acting thyroid stimulator (LATS), 30 showed LATS protector only, and five showed neither. LATS protector was present in all the patients with LATS. Infiltrative ophthalmopathy was less common in patients with LATS protector only (40%) than in patients with LATS also (67%), but the difference was not significant. There was a correlation between LATS protector level and thyroid (131)I uptake rate factor (k(1)), the coefficient (r) being 0.68 (P < 0.001). LATS level showed no such correlation. The results support the hypothesis that LATS protector is a pathogenic thyroid stimulator in patients with diffuse toxic goitre.
在50例未经治疗的连续性弥漫性毒性甲状腺肿患者中,15例显示有长效甲状腺刺激素(LATS),30例仅显示有LATS保护物,5例两者均未显示。所有有LATS的患者均有LATS保护物。仅具有LATS保护物的患者(40%)发生浸润性眼病的情况比同时有LATS的患者(67%)少见,但差异无显著性。LATS保护物水平与甲状腺(131)I摄取率因子(k(1))之间存在相关性,系数(r)为0.68(P < 0.001)。LATS水平未显示出此类相关性。这些结果支持了LATS保护物是弥漫性毒性甲状腺肿患者中一种致病性甲状腺刺激物的假说。