A CASE OF GRAVES-DISEASE WITH FALSE HYPERTHYROTROPINEMIA WHO DEVELOPED SILENT THYROIDITIS

被引:0
|
作者
IITAKA, M [1 ]
ISHII, J [1 ]
ISHIKAWA, N [1 ]
YOSHIMURA, H [1 ]
MOMOTANI, N [1 ]
SAITOU, H [1 ]
ITO, K [1 ]
机构
[1] ITO HOSP,TOKYO 150,JAPAN
来源
ENDOCRINOLOGIA JAPONICA | 1991年 / 38卷 / 06期
关键词
SILENT THYROIDITIS; GRAVES DISEASE; HYPERTHYROTROPINEMIA; ANTI-MOUSE IGG ANTIBODY; 2-SITE IMMUNOMETRIC ASSAY;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We encountered a patient who developed silent thyroiditis during the course of Graves' disease. The diagnosis of silent thyroiditis was made on the basis of a low thyroidal I-131 uptake, no response to the thyrotropin releasing hormone (TRH) test, and subsequent hypothyroidism despite the presence of high titers of thyrotropin (TSH) receptor antibody (TRAb) and thyroid stimulating antibody (TSAb). The patient, in addition, had a discrepancy between serum TSH and thyroid hormone values. This was due to the presence of interfering substances that react to mouse IgG in the sera since serum TSH levels were decreased in a dose dependent manner by the addition of increasing amounts of mouse IgG to the sera. It should therefore be noted that silent thyroiditis can develop in patients with Graves' disease. Furthermore, clinicians should be aware that two-site immunoassay kits that use mouse monoclonal antibodies are subject to interference by some substances, possibly antibodies which react to mouse IgG.
引用
收藏
页码:667 / 671
页数:5
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