Elevated serum thyrotropin [TSH] levels in critically ill patients with acquired immunodeficiency syndrome (AIDS).

S A Peter, J M Ortiz, R Vergara
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引用次数: 3

Abstract

STUDY OBJECTIVE To determine thyrotropin (TSH) reserve in critically ill patients with Acquired Immunodeficiency Syndrome (AIDS). DESIGN Prospective longitudinal. SETTING Six hundred (600) bed municipal hospital serving a poor neighborhood in New York City with a high incidence of AIDS mainly from intravenous drug abuse. PATIENTS AND METHODS Twelve (12) patients with AIDS, who were in the Intensive Care Unit or critically ill on medical wards, were evaluated consecutively with baseline thyroid function tests and serum thyrotropin (TSH) response to thyroid releasing hormone testing. RESULTS 66.7% of patients had elevated TSH levels. All patients had low triiodothyronine (T3), six patients had low thyroxine (T4) levels. RESULTS (cont'd). Six patients met the criteria for hypothyroidism. Two patients met the criteria for subclinical hypothyroidism. CONCLUSION Elevated TSH levels and hypothyroidism are common in our critically ill population with AIDS.
获得性免疫缺陷综合征(AIDS)危重患者血清促甲状腺素(TSH)水平升高
研究目的:测定获得性免疫缺陷综合征(AIDS)危重患者的促甲状腺素(TSH)储备。设计:前瞻性纵向。环境:600(600)张床位的市立医院,服务于纽约市一个主要由静脉吸毒引起艾滋病高发的贫困社区。患者和方法:对12例重症监护病房或重症病房的艾滋病患者进行基线甲状腺功能测试和血清促甲状腺激素(TSH)对甲状腺释放激素测试的反应。结果:66.7%的患者TSH水平升高。所有患者均有低三碘甲状腺原氨酸(T3), 6例患者有低甲状腺素(T4)。结果:(租)。6例患者符合甲状腺功能减退的标准。2例患者符合亚临床甲状腺功能减退的标准。结论:TSH水平升高和甲状腺功能减退在艾滋病危重患者中很常见。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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