Smolle J, Wawschinek O, Hayn H, Eber O
Acta Med Austriaca. 1983;10(2-3):71-3.
From 190 goitrous patients (106 euthyroid, 53 hyperthyroid, 31 hypothyroid) serum levels of vitamin A and carotene were obtained. The serum levels of vitamin A were significantly decreased in both hyperthyroidism and hypothyroidism, the serum levels of carotene in hypothyroidism only. Remarkably, vitamin A levels almost never drop to subnormal values in hyperthyroidism. There is evidence, that a sufficient dietary protein supply enables the liver cell to produce enough amounts of retinol binding protein and prealbumin to overcome the increased clearance observed in hyperthyroid conditions.
从190例甲状腺肿患者(106例甲状腺功能正常、53例甲状腺功能亢进、31例甲状腺功能减退)中获取血清维生素A和胡萝卜素水平。甲状腺功能亢进和甲状腺功能减退患者的血清维生素A水平均显著降低,仅甲状腺功能减退患者的血清胡萝卜素水平降低。值得注意的是,甲状腺功能亢进患者的维生素A水平几乎从未降至正常以下。有证据表明,充足的膳食蛋白质供应能使肝细胞产生足够量的视黄醇结合蛋白和前白蛋白,以克服甲状腺功能亢进状态下观察到的清除率增加。