The secretion of thyrotrophin with impaired biological activity in patients with hypothalamic-pituitary disease.

Abstract:

:We describe here two patients with hypothyroidism due to pituitary-hypothalamic disease in whom basal thyrotrophin (TSH) levels measured by radioimmunoassay (RIA) were elevated yet when measured by a cytochemical bioassay (CBA) were found to be normal. This finding and the absence of the normal rise of thyroid hormones in response to thyrotrophin-releasing hormone (TRH) mediated release of TSH confirms for the first time the secretion of TSH with impaired biological activity. Primary thyroid disease as a cause for the elevated immunoreactive TSH was excluded by the absence of circulating thyroid antibodies and by a normal thyroidal radioiodine uptake response to exogenous TSH.

journal_name

Clin Endocrinol (Oxf)

journal_title

Clinical endocrinology

authors

Petersen VB,McGregor AM,Belchetz PE,Elkeles RS,Hall R

doi

10.1111/j.1365-2265.1978.tb02174.x

subject

Has Abstract

pub_date

1978-05-01 00:00:00

pages

397-402

issue

5

eissn

0300-0664

issn

1365-2265

journal_volume

8

pub_type

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