PRL
Concentration before and after Stimulation with Thyroliberin in Primary Hypothyroidism
Trejbal D., Petrášová D., Macejová A., Lazúrová I., Wágnerová H., Trejbalová L.:
1II. interná klinika FNsP, Košice, Slovenská republika, prednosta doc. MUDr. D. Trejbal, CSc. 2Ústav experimentálnej medicíny LF UPJŠ, Košice, Slovenská republika, riaditeľ MUDr. M. Kuchta, CSc. |
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Summary:
The authors examined the concentration of thyrotropic hormone (TSH) and prolactin (PRL) before and after stimulation with synthetic thyroliberine (0.2 mg TRH i.v.) in a group of 72 women
with primary hypothyroidism (mean age 45 years, range 17 - 69 years) and l2 controls (mean age
35 years, range 17-49 years). According to the total thyroxin concentrations (TT4) and TSH they
divided the group into three smaller subgroups: developed primary hypothyroidism (n = 8, mean
age 50 years, TT4 < 65 nmol/l, basal TSH concentration > 15.0 mIU/l nmol/l), subclinical hypothyro-
idism, severe grade (n = 23, mean age 36 years, TT4 > 65 nmol/l, basal TSH concentration < 4.5
mIU/l),subclinical hypothyroidism mild degree (n = 39, mean age 42 years, TT4 > 65 nmol/l, basal
TSH concentration < 4.5 mIU/l, TSH after TRH stimulation > 25 mIU/l). Mean basal PRL concentrations were in all three patient groups significantly higher than in the control group (P < 0.01) but
mutually they did not differ significantly. Poststimulation PRL concentrations were also significantly higher than in controls however the values in developed hypothyroidism were significantly higher than in subclinical patients. No correlation was found between TSH and PRL
concentrations.
Key words:
Prolactin (PRL) - Thyrotropic hormone (TSH) - Thyroliberin (TRH)- Primary hypothy-
roidism - Subclinical Hypothyroidism
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