Aleksandrova G F
Probl Endokrinol (Mosk). 1977 Jan-Feb;23(1):39-42.
The radioimmune method was applied to determination of the thyrotropic hormone (TTH) and thyroxin (T4) in the plasma of 20 patients with Itsenko-Cushing's disease and 12 patients with the syndrome of pubertal-juvenile dyspituitrism. The plasma thyroxin level proved to be lowered in the patients with Itsenko-Cushing's disease (3.1 +/- 0.9 gamma%); it was normal in the patients with the syndrome of pubertal-juvenile dyspituitrism (7.8 +/- 0.9 gamma%). The plasma TTH content gradually decreased in Itsenko-Cushing's disease with the increased duration of the malady. The TTH test demonstrated that the plasma T4 level was much less elevated in 24 hours in Itsenko-Cushing's disease than in the patients with the syndrome of pubertal-juvenile dyspituitrism (by 28 and 86% of the initial level, respectively). The differences in the functional condition of the hypothalamus-hypophysis-thyroid gland system in Itsenko-Cushing's disease and in the pubertal-juvenile dyspituitrism pointed to the different pathogenesis of these diseases.
采用放射免疫法测定了20例库欣病患者和12例青春期 - 青少年垂体功能减退综合征患者血浆中的促甲状腺激素(TTH)和甲状腺素(T4)。结果显示,库欣病患者血浆甲状腺素水平降低(3.1±0.9μg%);青春期 - 青少年垂体功能减退综合征患者血浆甲状腺素水平正常(7.8±0.9μg%)。在库欣病患者中,随着病程延长,血浆TTH含量逐渐降低。TTH试验表明,库欣病患者24小时内血浆T4水平升高幅度远低于青春期 - 青少年垂体功能减退综合征患者(分别为初始水平的28%和86%)。库欣病和青春期 - 青少年垂体功能减退综合征下丘脑 - 垂体 - 甲状腺系统功能状态的差异表明这两种疾病的发病机制不同。