孤立的中央甲状腺功能低下症:潜在的病理生理学和与抗抑郁药物和抗精神病药物的关系 - 一项南威尔士多中心研究
Frederick Keen1, David M Williams2, Jenna Essame2
1Department of Diabetes and Endocrinology, Nevill Hall Hospital, Brecon Road, Abergavenny, Wales, UK.
Clinical endocrinology
|September 26, 2023
概括
在没有其他垂体问题或视力问题的患者中,孤立的中央甲状腺功能低下症不需要进一步调查. 心理药物使用和这种情况之间存在着很强的联系.
科学领域:
- 内分泌学 在内分泌学.
- 临床生物化学 临床生物化学
背景情况:
- 孤立的生物化学中心甲状腺功能低下症越来越多地被诊断出来.
- 调查协议在医生之间有所不同.
- 这种情况的临床意义和关联需要澄清.
研究的目的:
- 为了确定孤立的生物化学性中央甲状腺功能低下症患者的最终诊断和临床结果.
- 评估这个生化发现的临床意义.
- 调查心理药物使用与孤立生化中心甲状腺功能低下症之间的关联.
主要方法:
- 在南威尔士九家医院进行了回顾性观察性研究.
- 在6年的时间里,对71名患有不明原因的分离生物化学性中央甲状腺功能低下症的患者进行了分析.
- 审查甲状腺功能测试,垂体成像和药物史.
主要成果:
- 在71名患者中,在任何一个人的下垂体成像中都没有发现临床意义上的病理.
- 65% (46/71) 的患者正在服用精神药物.
- 没有发现其他垂体激素功能障碍或视野缺陷.
结论:
- 孤立的中央甲状腺功能低下症,没有其他垂体功能障碍或视觉缺陷,不需要进一步调查.
- 心理药物使用与孤立的生物化学中心甲状腺功能低下症之间存在显著的关联,可能是由于甲状腺激素抑制.
- 接受心理药物治疗的患者有这种生化发现,其已知原因,不需要进行放射性检查.
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