Abstract |
Fifteen cases of Korean hemorrhagic fever who were
admitted Chungnam National University Hospital from
October 1981 to December 1981 were analysed on the
evaluation of metabolic changes of the thyroid
hormones, and thyroid function status in each clinical
phase. 1) Serum T3, T4 concentration, FT4I and T4/TBG
ratio were significantly lower (p〈0.001, p〈0.005, P
〈0.005, P〈0.001, respectively) than control group in
oliguric and early diuretic phase of Korean hemorrhagic
fever. With the recovery of illness, abnormal thyroid
hormones and thyroid function indices tend to become
normal range. But Serum FT4, TSH anlE TBG concentration
were within normal range in all phase of KHF. Thus in
Korean hemorrhagic fever, euthyroidism is probably
maintained by normal or elevated serum FT4. 2) T4/T3
and rT3/T3 rato (p〈0.005, p〈0.005) were increased in
oliguric and early diuretic phase of MHF. These results
might be explained by decreased peripheral conversion
of T4 to T3 in oliguric and early diuretic phase. |