Obembe A, Abengowe C
Department of Psychiatry, Jos University Teaching Hospital, Nigeria.
Cent Afr J Med. 1994 Jan;40(1):4-8.
The prevalence of abnormal serum total thyroxine (T) and triiodothyronine (T3) concentrations were determined in 1,584 consecutive patients attending the outpatients unit of the Department of Psychiatry, Ahmadu Bello University Hospital, Kaduna. The serum thyroid hormone levels were determined by the enzyme linked immuno-absorbent assay (ELISA) technique. Primary hypothyroidism occurred in three females (prevalence 0,2 pc) and nine patients were diagnosed hyperthyroid (prevalence 0,6 pc). Five patients diagnosed as euthyroid by laboratory tests (two were in puerperium) were clinically hyperthyroid. Replacement therapy with appropriate physical treatment was indicated in all cases. All psychiatric patients over the age of 40 years should, if possible, be screened for thyroid dysfunction since thyroid dysfunctions often present with psychiatric symptoms.
在卡杜纳阿哈迈杜·贝洛大学医院精神病科门诊就诊的1584例连续患者中，测定了血清总甲状腺素（T）和三碘甲状腺原氨酸（T3）浓度异常的患病率。血清甲状腺激素水平采用酶联免疫吸附测定（ELISA）技术测定。原发性甲状腺功能减退发生在3名女性中（患病率0.2%），9名患者被诊断为甲状腺功能亢进（患病率0.6%）。5例经实验室检查诊断为甲状腺功能正常的患者（2例处于产褥期）临床诊断为甲状腺功能亢进。所有病例均需进行适当的物理治疗并进行替代治疗。所有40岁以上的精神科患者，如果可能，都应筛查甲状腺功能障碍，因为甲状腺功能障碍常伴有精神症状。
