Abstract
Thyroid function was studied in 54 patients undergoing chronic hemodialysis. Serum thyroxine, triiodothyronine and free thyroxine and the free thyroxine index were significantly lower than normal. The levels of both serum thyroxine and the free thyroxine index tended to fall progressively the longer the patients were on hemodialysis. These findings, in association with low serum TSH levels and normal increase in radioactive iodine uptake by the thyroid after TSH injection, suggest that a defect in pituitary secretion of TSH may be responsible. Although some patients experienced symptomatic improvement after treatment with L-thyroxine the efficacy of this form of treatment in patients on chronic hemodialysis has not yet been established.
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- ALEXANDER W. D., HARRISON M. T., HARDEN R. M., KOUTRAS D. A. THE EFFECT OF TOTAL FASTING ON THYROID FUNCTION IN MAN. Metabolism. 1964 Jul;13:587–590. doi: 10.1016/0026-0495(64)90067-8. [DOI] [PubMed] [Google Scholar]
- Burke G. The thyrotrophin stimulation test. Ann Intern Med. 1968 Dec;69(6):1127–1139. doi: 10.7326/0003-4819-69-6-1127. [DOI] [PubMed] [Google Scholar]
- Day T. K., Powell-Jackson P. R. Fluoride, water hardness, and endemic goitre. Lancet. 1972 May 27;1(7761):1135–1138. doi: 10.1016/s0140-6736(72)91370-0. [DOI] [PubMed] [Google Scholar]
- FRIIS T., OSTERGAARD KRISTENSEN H. P. The in vitro uptake by human erythrocytes of labelled L-triiodothyronine in cases of chronic bronchitis with carbon dioxide retention and renal insufficiency. Acta Endocrinol (Copenh) 1961 Mar;36:335–342. doi: 10.1530/acta.0.0360335. [DOI] [PubMed] [Google Scholar]
- GILSON W. E. Achilles-reflex recording with a simple photomotograph. N Engl J Med. 1959 May 14;260(20):1027–1028. doi: 10.1056/NEJM195905142602008. [DOI] [PubMed] [Google Scholar]
- Gaitan E., Island D. P., Liddle G. W. Identification of a naturally occurring goitrogen in water. Trans Assoc Am Physicians. 1969;82:141–152. [PubMed] [Google Scholar]
- HARDEN R. M., MASON D. K., BUCHANAN W. W. ESTIMATION OF THE PLASMA INORGANIC IODINE IN MAN: A COMPARISON OF METHODS. J Lab Clin Med. 1965 Mar;65:500–505. [PubMed] [Google Scholar]
- Mayberry W. E., Gharib H., Bilstad J. M., Sizemore G. W. Radioimmunoassay for human thyrotrophin. Clinical value in patients with normal and abnormal thyroid function. Ann Intern Med. 1971 Apr;74(4):471–480. doi: 10.7326/0003-4819-74-4-471. [DOI] [PubMed] [Google Scholar]
- Mirouze J., Jaffiol C., Mion C., Pastorello R. Devenir métabolique des hormones thyroïdiennes marquées (tri-iodo-thyronine 131 et thyroxine 125) dans l'insuffisance rénale urémigène évoluée mais non encore dialysée. J Urol Nephrol (Paris) 1967 Oct-Nov;73(10):781–790. [PubMed] [Google Scholar]
- Oddie T. H., Flanigan W. J., Fisher D. A. Iodine and thyroxine metabolism in anephric patients receiving chronic peritoneal dialysis. J Clin Endocrinol Metab. 1970 Sep;31(3):277–282. doi: 10.1210/jcem-31-3-277. [DOI] [PubMed] [Google Scholar]
- Ramirez G., Jubiz W., Gutch C. F., Kolff W. J. Thyroid function in chronic renal failure: effects of chronic hemodialysis. Trans Am Soc Artif Intern Organs. 1972;18(0):244–249. doi: 10.1097/00002480-197201000-00061. [DOI] [PubMed] [Google Scholar]
- Schmidt P., Stobaeus N., Prame G., Schittek F. Exophthalmus in chronic renal insufficiency. Scand J Urol Nephrol. 1971;5(2):146–153. doi: 10.3109/00365597109133593. [DOI] [PubMed] [Google Scholar]
- Smith F. R., Goodman D. S. The effects of diseases of the liver, thyroid, and kidneys on the transport of vitamin A in human plasma. J Clin Invest. 1971 Nov;50(11):2426–2436. doi: 10.1172/JCI106741. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Thompson J. N., Erdody P., Brien R., Murray T. K. Fluorometric determination of vitamin A in human blood and liver. Biochem Med. 1971 Feb;5(1):67–89. doi: 10.1016/0006-2944(71)90076-7. [DOI] [PubMed] [Google Scholar]
- Wahner H. W., Gorman C. A. Interpretation of serum tri-iodothyronine levels measured by the sterling technic. N Engl J Med. 1971 Feb 4;284(5):225–230. doi: 10.1056/NEJM197102042840501. [DOI] [PubMed] [Google Scholar]
- Walton K. W., Campbell D. A., Tonks E. L. The significance of alterations in serum lipids in thyroid dysfunction. I. The relation between serum lipoproteins, carotenoids and vitamin A in hypothyroidism and thyrotoxicosis. Clin Sci. 1965 Oct;29(2):199–215. [PubMed] [Google Scholar]
- Wolff J. Iodide goiter and the pharmacologic effects of excess iodide. Am J Med. 1969 Jul;47(1):101–124. doi: 10.1016/0002-9343(69)90245-9. [DOI] [PubMed] [Google Scholar]