Taylor H C, Sheeler L R
JAMA. 1982 Sep 3;248(9):1085-8.
Five patients had recurrent episodes of spontaneously resolving thyrotoxicosis (SRT). Three displayed only the classic low-intake variety of this disorder, while two had alternating episodes of high-uptake and low-uptake thyrotoxicosis. Two of the three with low uptake only who had thyrotropin displacement activity (TDA) assays had negative results on this test, while one of the patients with alternating high- and low-uptake thyrotoxicosis had a positive TDA assay result, suggesting that the pathogenesis in the two types of SRT may differ.
5例患者有自发缓解型甲状腺毒症(SRT)的复发发作。3例仅表现为该疾病典型的低摄取型,而2例有高摄取和低摄取型甲状腺毒症交替发作。3例仅表现为低摄取型且进行了促甲状腺激素置换活性(TDA)检测的患者中,2例该检测结果为阴性,而1例高摄取和低摄取型甲状腺毒症交替发作的患者TDA检测结果为阳性,提示两种类型SRT的发病机制可能不同。