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溃疡性结肠炎和克罗恩病中的甲状腺。IV. 甲状腺激素结合蛋白。

The thyroid in ulcerative colitis and Crohn's disease. IV. Thyroid hormone binding proteins.

作者信息

Järnerot G, Truelove S C, von Schenck H

出版信息

Acta Med Scand. 1975 Jan-Feb;197(1-2):95-8. doi: 10.1111/j.0954-6820.1975.tb04884.x.

Abstract

The thyroxine binding globulin (TBG), thyroxine binding prealbumin (TBPA), albumin, thyroxine (T(4)) and the triiodothyronine uptake test (T(3)-test) values have been estimated in serum of twenty patients with ulcerative colitis (UC) or Crohn's disease. The patient group was compared with twenty healthy control subjects matched for sex and age. The T(4) and the T(3)-test values were similar in the two groups. TBPA and albumin in serum were significantly lower, while the TBG values were significantly higher in the patients than in the controls. Treatment with corticosteroids influenced the results significantly. It is also concluded that in UC and Crohn's disease sometimes both the T(4) and the T(3)-test values can be abnormal so that misdiagnosis of hyperthyroidism is easy to make.

摘要

已对20例溃疡性结肠炎(UC)或克罗恩病患者的血清中的甲状腺素结合球蛋白(TBG)、甲状腺素结合前白蛋白(TBPA)、白蛋白、甲状腺素(T4)以及三碘甲状腺原氨酸摄取试验(T3试验)值进行了评估。将患者组与20名年龄和性别相匹配的健康对照者进行了比较。两组的T4和T3试验值相似。患者血清中的TBPA和白蛋白显著低于对照组,而TBG值则显著高于对照组。使用皮质类固醇进行治疗对结果有显著影响。还得出结论,在UC和克罗恩病中,有时T4和T3试验值均可能异常,因此容易误诊为甲状腺功能亢进。

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