PROTEIN-BOUND IODINE DURING ANTITHYROID TREATMENT

Autor: L. Skovsted, J. Mølholm Hansen, L. Korsgaard Christensen
Rok vydání: 2009
Předmět:
Zdroj: Acta Medica Scandinavica. 185:483-487
ISSN: 0001-6101
Popis: A combination of low protein-bound iodine values and normal basal metabolic rates has been found in some thyrotoxic patients treated with antithyroid drugs. Experiments are presented which show that this observation can be explained by an increase in the triiodothyronine share of the circulating thyroid hormones in these patients. The finding of a low PBI value in an antithyroid-treated patient will in some cases not be an indication of myxoedema. It is suggested, however, that a low PBI value also in these patients is a sign of overtreatment. The practical outcome of these experiments and considerations, consequently, is that measurement of BMR values alone does not ensure adequate control during treatment with antithyroid agents. A determination of PBI values should be included and it is suggested that the dose of antithyroid compound is adjusted to keep the PBI within normal limits.
Databáze: OpenAIRE