Gómez Sáez J M, Fernández Castañer M, Navarro M A, Bonnin M R, Soler Ramón J, Roca A
Med Clin (Barc). 1981 May 10;76(9):412-6.
This case report deals with a 40 year-old female with goiter, elevated levels of peripheral thyroid hormones without the clinical picture of hyperthyroidism, and an exaggerated response to TSH and TRH. The fact that a feedback conversion appeared after progressive doses of T3 is outlined. Taking into account the elevated T3/T4 ratio, the high rT3, and the fact that all other pituitary hormones remained normal in the presence of increased levels of thyroid hormones, it is concluded that the case was one of incomplete universal resistance of the thyroid hormone receptors. Other individual and familial reported cases are reviewed, and emphasis is made on the fact that the receptors have been normal when studied.
本病例报告涉及一名40岁女性,患有甲状腺肿,外周甲状腺激素水平升高但无甲亢临床表现,且对促甲状腺激素(TSH)和促甲状腺激素释放激素(TRH)反应过度。文中概述了在逐渐增加剂量的三碘甲状腺原氨酸(T3)后出现反馈转换的情况。考虑到T3/T4比值升高、反三碘甲状腺原氨酸(rT3)水平高,以及在甲状腺激素水平升高时所有其他垂体激素仍保持正常这一事实,得出该病例为甲状腺激素受体不完全普遍抵抗的结论。对其他已报道的个体和家族病例进行了回顾,并强调了受体在研究时是正常的这一事实。