대한핵의학회지 (1967년~2009년)
대한핵의학회지 1983;17(1)63~7
한국형 출혈열의 임상경과에 따른 갑상선홀몬의 변동 ( Thyroid Hormones and Thyroid Function status in each clinical phase of Korean Hemorrhagic Fever )
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Author 신영태(Young Tai Shin),전병숙(Byung Sook Jeon),윤성열(Sung Yeul Yoon),이헌영(Houn Young Lee),김삼용(Sam Yong Kim),노흥규(Heung Kyu Ro),
Affiliation
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.

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