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Age Modifies the Pituitary TSH Response to Thyroid Failure.

Age Modifies the Pituitary TSH Response to Thyroid Failure. Research Abstract Details 

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  • Age Modifies the Pituitary TSH Response to Thyroid Failure. Abstract Text:

    allan Allan ,peter laurbergPeter Laurberg,inge b pedersenInge B Pedersen,hans perrildHans Perrild,lars ovesenLars Ovesen,lone b rasmussenLone B Rasmussen,torben jorgensenTorben Jorgensen,nils knudsenNils Knudsen,

    Objective: To investigate the association between serum TSH, total T4 and various patient characteristics when hypothyroidism is diagnosed in a population, and to study how age, sex and serum T4 levels influenced pituitary TSH response. Design: A computer-based register linked to laboratory databases prospectively identified all patients with new, biochemically overt hypothyroidism (n = 685) in an open cohort in Denmark. The diagnosis was verified in each patient, and disease was classified into nosological type. Serum TSH and total T4 were recorded at the time of diagnosis in untreated patients with spontaneous autoimmune hypothyroidism (n = 578). Main outcome: In untreated primary, spontaneous autoimmune hypothyroidism, we observed a four fold difference in average serum TSH levels between the youngest (0-20 years: TSH = 100 mU/l) and the oldest (80+ years: TSH = 24.4 mU/l) group of patients. No age dependent variation was observed in serum total T4. Log TSH showed an inverse linear correlation with age. An inverse linear correlation was present between log TSH and total T4 in both young and old patients, but for all total T4 values we observed lower median serum TSH values in elderly patients. Conclusions: For the same degree of thyroid failure, the serum TSH is lower among the elderly. This is most likely caused by a decrease in the hypothalamic/pituitary response to low serum T4. A certain increase in serum TSH may indicate more severe hypothyroidism in an old than in a young patient, and longer time may be needed after thyroid hormone withdrawal before elderly patients with thyroid cancer reach sufficiently high TSH values to allow for an effective radio-iodine treatment.

    Age Modifies the Pituitary TSH Response to Thyroid Failure. Publishing Authors By Initials

    a A ,p laurbergP Laurberg,ib pedersenIB Pedersen,h perrildH Perrild,l ovesenL Ovesen,lb rasmussenLB Rasmussen,t jorgensenT Jorgensen,n knudsenN Knudsen,

    For similar abstracts research abstracts see: abstracts research

    PUBMED ID PMID:

    MEDLINE DATE:

    Age Modifies the Pituitary TSH Response to Thyroid Failure. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Thyroid : official journal of the American Thyroid

    VOLUME: 17

    Page Numbers: 139-44

    Journal Abbreviation: Thyroid

    ISSN: 1050-7256

    DAY: 23

    MONTH: Feb

    YEAR: 2007

    Age Modifies the Pituitary TSH Response to Thyroid Failure. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 9104317

    Age Modifies the Pituitary TSH Response to Thyroid Failure. Keywords Mesh Terms:

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    Grant and Affiliation Information for Age Modifies the Pituitary TSH Response to Thyroid Failure.

    AFFILIATION: Department of Endocrinology and Medicine, Aalborg Hospital, Aarhus University Hospital, Denmark.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: Thyroid

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