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[玉水病患者的甲状腺功能:28年随访研究]

[Thyroid function in patients with Yusho: 28 year follow-up study].

作者信息

Tsuji H, Sato K, Shimono J, Azuma K, Hashiguchi M, Fujishima M

机构信息

Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan.

出版信息

Fukuoka Igaku Zasshi. 1997 May;88(5):231-5.

PMID:9194348
Abstract

To evaluate chronic effect of polychlorinated biphenyl (PCB) on thyroid functions, thyroid hormone levels and thyroidal autoantibodies were studied in 81 patients with Yusho in 1996. Serum level of thyroid stimulating hormone (TSH) was elevated in 7 cases (8.6%). All of them showed normal triiodothyronine (T3), thyroxine (T4) and free T4 levels, and regarded as latent hypothyroidism. There were no significant correlations between blood PCB concentrations and TSH levels, T2 levels, T4 levels or free T4 levels. Thyroglobulin antibodies were detected in 8 cases (19.5%) of 41 Yusho patients with high PBC concentration (higher than 3.0 ppb), and in only one case (2.5%) of 40 patients with low PBC concentration (lower than 2.9 ppb). We conclude that thyroglobulin antibody in patients with Yusho is not frequent and it may be associated with blood PCB concentration.

摘要

为评估多氯联苯(PCB)对甲状腺功能的慢性影响,1996年对81例油症患者的甲状腺激素水平和甲状腺自身抗体进行了研究。7例(8.6%)患者血清促甲状腺激素(TSH)水平升高。他们的三碘甲状腺原氨酸(T3)、甲状腺素(T4)和游离T4水平均正常,被视为亚临床甲状腺功能减退。血液中PCB浓度与TSH水平、T2水平、T4水平或游离T4水平之间无显著相关性。在41例PCB浓度高(高于3.0 ppb)的油症患者中,8例(19.5%)检测到甲状腺球蛋白抗体,而在40例PCB浓度低(低于2.9 ppb)的患者中,仅1例(2.5%)检测到甲状腺球蛋白抗体。我们得出结论,油症患者中的甲状腺球蛋白抗体并不常见,且可能与血液中PCB浓度有关。

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