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NEEDLE LIVER BIOPSY IN THYROTOXICOSIS

NEEDLE LIVER BIOPSY IN THYROTOXICOSIS Abstract THERE are numerous reports in the literature concerning abnormal hepatic function and pathologic changes in the liver of patients with thyrotoxicosis. As a result, there is prevalent a notion that the liver is frequently involved by the thyrotoxic state, both functionally and structurally. It is to be noted, however, that the clinical data are quite inadequate or scanty in most, if not all, series of cases reported as demonstrating anatomical abnormalities in the liver of such patients. Moreover, the pathologic changes as described are the ones observed exclusively in the autopsy material. Thus, the possibility that such abnormalities might be due to some complicating or coexistent conditions has not been adequately ruled out. Also it is obvious that the pathologic changes in the liver as described have been seen only in those patients who were so gravely ill as to die, either from the hyperthyroid state per se or from References 1. Paul, cited by Shaffer, J. M.: Diseases of the Liver in Hyperthyroidism , Arch. Path. 29:20, 1940. 2. Lichtman, S. S.: Diseases of the Liver, Gallbladder and Bile Ducts , Ed. 2, Philadelphia, Lea & Febiger, 1949. 3. Bauer, R.: Weitere Untersuchungen über alimentäre Galaktosurie , Wien. med. Wchnschr. 66:2537, 1906. 4. Maclagan, N. F.; Rundle, F. F.; Collard, H. B., and Mills, F. H.: Liver Function in Thyrotoxicosis , Quart. J. Med. 9:215, 1940. 5. Althausen, T. L.; Lockhart, J. C., and Soley, M. H.: New Diagnostic Test (Galactose) for Thyroid Disease , Am. J. M. Sc. 199:342, 1940.Crossref 6. Stenstam, T.: Peroral and Intravenous Galactose Test , Lund, Håkan Ohlssons Boktryckeri, 1946. 7. Adler, A., and Lemmel, H.: Zur feineren Diagnostik der Leberkrankheiten: Cholesterin und Cholesterin-Ester im Blute Leberkranker , Deutsches Arch. klin. Med. 158:173, 1928. 8. Maddock, W. G.; Collier, F. A., and Pedersen, S.: Thyroid Crisis: Its Relation to Liver Function and Adrenalin , West. J. Surg. 44:513, 1936. 9. Haines, S. F.; Magath, R. B., and Power, M. H.: Hippuric Acid Test in Hyperthyroidism , Ann. Int. Med. 14:1225, 1941.Crossref 10. Allison, A.: Liver Damage in Thyrotoxicosis with Special Reference to the Results of Liver Function Tests in Patients Treated with Thiouracil , Glasgow M. J. 30:417, 1949. 11. Bartels, E. C.: Liver Function in Hyperthyroidism as Determined by Hippuric Acid Test , Ann. Int. Med. 12:652, 1938.Crossref 12. Brown, R. B., and Mecray, P. M.: Serum Proteins Before and After Operations for Hyperthyroidism , Endocrinology 22:302, 1938.Crossref 13. Lord, J. W., Jr., and Andrus, W. DeW.: Changes in Liver Associated with Hyperthyroidism, with Study of Plasma Prothrombin Levels in Immediate Postoperative Period , Arch. Surg. 42:643, 1941.Crossref 14. Bockus, H. L., and Monaghan, J. F.: The Influence of Thyroid Disease on the Liver , in Bockus, H. L., and others: Gastro-Enterology , Vol. 3, Philadelphia, W. B. Saunders Company, 1946. 15. Marine, D., and Lenhart, C. H.: Pathological Anatomy of Exophthalmic Goiter: The Anatomical and Physiological Relations of the Thyroid Gland to the Disease; the Treatment , Arch. Int. Med. 8:265, 1911.Crossref 16. Kerr, W. J., and Rusk, G. Y.: Acute Yellow Atrophy Associated with Hyperthyroidism , M. Clin. North America 6:445, 1922. 17. Kerr, W. J.: Necrosis of Heart and Liver in Thyrotoxicosis, with Some Notes on Possible Changes in Other Organs , Northwest Med. 29:430, 1930. 18. Beaver, D. C., and Pemberton, J. deJ.: The Pathologic Anatomy of the Liver in Exophthalmic Goiter , Ann. Int. Med. 7:687, 1933.Crossref 19. Weller, C. V.: Hepatic Pathology in Exophthalmic Goiter , Ann. Int. Med. 7:543, 1933.Crossref 20. Cameron, G. R., and Karunaratne, W. A. E.: Liver Changes in Exophthalmic Goitre , J. Path. & Bact. 41:267, 1935. 21. Shaffer, J. M.: Diseases of the Liver in Hyperthyroidism , Arch. Path. 29:20, 1940. 22. Moschcowitz, E.: Pathogenesis of Cirrhosis of the Liver Occurring in Patients with Diffuse Toxic Goiter , Arch. Int. Med. 78:497, 1946. 23. Wallerstein, R. S., and Walker, W. J.: Hepatosplenomegaly and Liver Damage in Graves's Disease , Ann. Int. Med. 31:904, 1949. 24. Bickel, G.: Les cirrhoses hepatiques d'origine thyroüdienne , Schweiz. med. Wchnschr. 73:1160, 1943. 25. Foss, H. L.; Hunt, H. F., and McMillan, R. M.: The Pathogenesis of Crisis and Death in Hyperthyroidism , J. A. M. A. 113:1090, 1939.Crossref 26. McArthur, J. W.; Rawson, R. W.; Means, J. H., and Cope, O.: Thyrotoxic Crisis , J. A. M. A. 134:868, 1947.Crossref 27. Himsworth, H. P.: Lecture on the Liver and Its Diseases , Oxford, Blackwell Scientific Publications, 1947. 28. György, P., and Goldblatt, H.: Thiouracil in Prevention of Experimental Dietary Cirrhosis of Liver , Science 102:451, 1945.Crossref 29. Piper, J., and Poulsen, E.: Liver Biopsy in Thyrotoxicosis , Acta med. scandinav. 127: 439, 1947.Crossref 30. Lillie, R. D.: Histopathologic Technic , Philadelphia, The Blakiston Company, 1948, p. 145. 31. Mallory, F. B.: Pathological Technique , Philadelphia, W. B. Saunders Company, 1938, p. 163. 32. Ehrlich, P.: Ztschr. klin. med. 6:33, 1883. 33. Warren, S.: The Pathology of Diabetes Mellitus , Ed. 2, Philadelphia, Lea & Febiger, 1938. 34. Chipps, H. D., and Duff, G. L.: Glycogen Infiltration of the Liver Cell Nuclei , Am. J. Path. 18:645, 1942. 35. Popper, H.: Significance of Agonal Changes in the Human Liver , Arch. Path. 46:132, 1948. 36. Popper, H., and Franklin, M.: Diagnosis of Hepatitis by Histologic and Functional Laboratory Methods , J. A. M. A. 137:230, 1948.Crossref 37. Klatskin, G., and Yesner, R.: Hepatic Manifestations of Sarcoidosis and Other Granulomatous Diseases , Yale J. Biol. & Med. 23:207, 1950. 38. Yesner, R., and Kunkel, P.: Preliminary Observations on the Effect of Aureomycin, Terramycin, Tibione, Combined Tibione and Streptomycin, and Chloromycetin on the Morphology of the Liver in Man , Yale J. Biol. & Med. 23:299, 1951. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Internal Medicine American Medical Association

NEEDLE LIVER BIOPSY IN THYROTOXICOSIS

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References (41)

Publisher
American Medical Association
Copyright
Copyright © 1953 American Medical Association. All Rights Reserved.
ISSN
0888-2479
DOI
10.1001/archinte.1953.00240180038005
Publisher site
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Abstract

Abstract THERE are numerous reports in the literature concerning abnormal hepatic function and pathologic changes in the liver of patients with thyrotoxicosis. As a result, there is prevalent a notion that the liver is frequently involved by the thyrotoxic state, both functionally and structurally. It is to be noted, however, that the clinical data are quite inadequate or scanty in most, if not all, series of cases reported as demonstrating anatomical abnormalities in the liver of such patients. Moreover, the pathologic changes as described are the ones observed exclusively in the autopsy material. Thus, the possibility that such abnormalities might be due to some complicating or coexistent conditions has not been adequately ruled out. Also it is obvious that the pathologic changes in the liver as described have been seen only in those patients who were so gravely ill as to die, either from the hyperthyroid state per se or from References 1. Paul, cited by Shaffer, J. M.: Diseases of the Liver in Hyperthyroidism , Arch. Path. 29:20, 1940. 2. Lichtman, S. S.: Diseases of the Liver, Gallbladder and Bile Ducts , Ed. 2, Philadelphia, Lea & Febiger, 1949. 3. Bauer, R.: Weitere Untersuchungen über alimentäre Galaktosurie , Wien. med. Wchnschr. 66:2537, 1906. 4. Maclagan, N. F.; Rundle, F. F.; Collard, H. B., and Mills, F. H.: Liver Function in Thyrotoxicosis , Quart. J. Med. 9:215, 1940. 5. Althausen, T. L.; Lockhart, J. C., and Soley, M. H.: New Diagnostic Test (Galactose) for Thyroid Disease , Am. J. M. Sc. 199:342, 1940.Crossref 6. Stenstam, T.: Peroral and Intravenous Galactose Test , Lund, Håkan Ohlssons Boktryckeri, 1946. 7. Adler, A., and Lemmel, H.: Zur feineren Diagnostik der Leberkrankheiten: Cholesterin und Cholesterin-Ester im Blute Leberkranker , Deutsches Arch. klin. Med. 158:173, 1928. 8. Maddock, W. G.; Collier, F. A., and Pedersen, S.: Thyroid Crisis: Its Relation to Liver Function and Adrenalin , West. J. Surg. 44:513, 1936. 9. Haines, S. F.; Magath, R. B., and Power, M. H.: Hippuric Acid Test in Hyperthyroidism , Ann. Int. Med. 14:1225, 1941.Crossref 10. Allison, A.: Liver Damage in Thyrotoxicosis with Special Reference to the Results of Liver Function Tests in Patients Treated with Thiouracil , Glasgow M. J. 30:417, 1949. 11. Bartels, E. C.: Liver Function in Hyperthyroidism as Determined by Hippuric Acid Test , Ann. Int. Med. 12:652, 1938.Crossref 12. Brown, R. B., and Mecray, P. M.: Serum Proteins Before and After Operations for Hyperthyroidism , Endocrinology 22:302, 1938.Crossref 13. Lord, J. W., Jr., and Andrus, W. DeW.: Changes in Liver Associated with Hyperthyroidism, with Study of Plasma Prothrombin Levels in Immediate Postoperative Period , Arch. Surg. 42:643, 1941.Crossref 14. Bockus, H. L., and Monaghan, J. F.: The Influence of Thyroid Disease on the Liver , in Bockus, H. L., and others: Gastro-Enterology , Vol. 3, Philadelphia, W. B. Saunders Company, 1946. 15. Marine, D., and Lenhart, C. H.: Pathological Anatomy of Exophthalmic Goiter: The Anatomical and Physiological Relations of the Thyroid Gland to the Disease; the Treatment , Arch. Int. Med. 8:265, 1911.Crossref 16. Kerr, W. J., and Rusk, G. Y.: Acute Yellow Atrophy Associated with Hyperthyroidism , M. Clin. North America 6:445, 1922. 17. Kerr, W. J.: Necrosis of Heart and Liver in Thyrotoxicosis, with Some Notes on Possible Changes in Other Organs , Northwest Med. 29:430, 1930. 18. Beaver, D. C., and Pemberton, J. deJ.: The Pathologic Anatomy of the Liver in Exophthalmic Goiter , Ann. Int. Med. 7:687, 1933.Crossref 19. Weller, C. V.: Hepatic Pathology in Exophthalmic Goiter , Ann. Int. Med. 7:543, 1933.Crossref 20. Cameron, G. R., and Karunaratne, W. A. E.: Liver Changes in Exophthalmic Goitre , J. Path. & Bact. 41:267, 1935. 21. Shaffer, J. M.: Diseases of the Liver in Hyperthyroidism , Arch. Path. 29:20, 1940. 22. Moschcowitz, E.: Pathogenesis of Cirrhosis of the Liver Occurring in Patients with Diffuse Toxic Goiter , Arch. Int. Med. 78:497, 1946. 23. Wallerstein, R. S., and Walker, W. J.: Hepatosplenomegaly and Liver Damage in Graves's Disease , Ann. Int. Med. 31:904, 1949. 24. Bickel, G.: Les cirrhoses hepatiques d'origine thyroüdienne , Schweiz. med. Wchnschr. 73:1160, 1943. 25. Foss, H. L.; Hunt, H. F., and McMillan, R. M.: The Pathogenesis of Crisis and Death in Hyperthyroidism , J. A. M. A. 113:1090, 1939.Crossref 26. McArthur, J. W.; Rawson, R. W.; Means, J. H., and Cope, O.: Thyrotoxic Crisis , J. A. M. A. 134:868, 1947.Crossref 27. Himsworth, H. P.: Lecture on the Liver and Its Diseases , Oxford, Blackwell Scientific Publications, 1947. 28. György, P., and Goldblatt, H.: Thiouracil in Prevention of Experimental Dietary Cirrhosis of Liver , Science 102:451, 1945.Crossref 29. Piper, J., and Poulsen, E.: Liver Biopsy in Thyrotoxicosis , Acta med. scandinav. 127: 439, 1947.Crossref 30. Lillie, R. D.: Histopathologic Technic , Philadelphia, The Blakiston Company, 1948, p. 145. 31. Mallory, F. B.: Pathological Technique , Philadelphia, W. B. Saunders Company, 1938, p. 163. 32. Ehrlich, P.: Ztschr. klin. med. 6:33, 1883. 33. Warren, S.: The Pathology of Diabetes Mellitus , Ed. 2, Philadelphia, Lea & Febiger, 1938. 34. Chipps, H. D., and Duff, G. L.: Glycogen Infiltration of the Liver Cell Nuclei , Am. J. Path. 18:645, 1942. 35. Popper, H.: Significance of Agonal Changes in the Human Liver , Arch. Path. 46:132, 1948. 36. Popper, H., and Franklin, M.: Diagnosis of Hepatitis by Histologic and Functional Laboratory Methods , J. A. M. A. 137:230, 1948.Crossref 37. Klatskin, G., and Yesner, R.: Hepatic Manifestations of Sarcoidosis and Other Granulomatous Diseases , Yale J. Biol. & Med. 23:207, 1950. 38. Yesner, R., and Kunkel, P.: Preliminary Observations on the Effect of Aureomycin, Terramycin, Tibione, Combined Tibione and Streptomycin, and Chloromycetin on the Morphology of the Liver in Man , Yale J. Biol. & Med. 23:299, 1951.

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A.M.A. Archives of Internal Medicine – American Medical Association

Published: Jun 1, 1953

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