[TRH-test in hyperthyreoidism. Investigations of the TRH stimulated TSH-secretion in anti-thyroid drug treated primary hyperthyreoidism and in experimentally induced hyperthyreoidism (author's transl)]

Med Klin. 1977 May 13;72(19):849-54.
[Article in German]

Abstract

Determinations in 11 patients with anti-thyroid drug therapy of hyperthyreoidism showed, that a pronounced lag period exist between normalisation of thyroid hormone level and TRH responsiveness. The lag period range between 5 and 27 weeks. During this time it is not necessary to give simultaneously thyroid hormones in antithyroid drug therapy to compensate hyperresponsiveness of TSH. - Investigations in 12 volunteers with experimental hyperthyreoidism induced by administration of thyroxine suggest a longterm suppression of the hypophysis to be the cause of the lag period of TSH-secretion. There are some similarities to the ACTH-suppression in therapy with corticosteroids and to the so-called "syndrome of oversuppression" in long lasting treatment with contraceptive drugs.

MeSH terms

  • Adult
  • Antithyroid Agents / therapeutic use
  • Female
  • Humans
  • Hyperthyroidism / diagnosis*
  • Hyperthyroidism / drug therapy
  • Male
  • Thyrotropin / metabolism*
  • Thyrotropin-Releasing Hormone*
  • Thyroxine / blood
  • Time Factors

Substances

  • Antithyroid Agents
  • Thyrotropin-Releasing Hormone
  • Thyrotropin
  • Thyroxine