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The Significance of Low Serum Thyrotropin in the Elderly-Reply

The Significance of Low Serum Thyrotropin in the Elderly-Reply Abstract In Reply.— We appreciate Serjeant's interest in our work1 and his suggestions as to the cause(s) of low serum thyrotropin concentration in nonhyperthyroid individuals. Indeed, with the background that patients with psychiatric disorders may display abnormal serum thyrotropin concentrations, low or high, we had carefully examined our probands and also their medical records for such disorders. In addition, about half of the study population (285 women and 152 men) had been examined by a specialist in psychiatry (Ingemar Skoog, Department of Psychiatry, University of Göteborg [Sweden]).There was no evidence for panic disorder in any of the 18 probands with a serum thyrotropin concentration lower than 0.20 mU/L who were not receiving thyroid hormone treatment. Of the 10 probands taking part in the specialist psychiatric evaluation (nine women), five had no psychiatric disorder, whereas three had an anxiety disorder (DSM-III criteria). Of 407 individuals without present or past thyroid References 1. Sundbeck G, Jagenburg R, Johansson P-M, Eden S, Lindstedt G. Clinical significance of low serum thyrotropin concentration by chemiluminometric assay in 85-year-old women and men . Arch Intern Med. 1991;151:549-556.Crossref 2. Sundbeck G, Edén S, Jagenburg R, Lindstedt G. Thyroid dysfunction in 85-year-old men and women: influence of nonthyroidal illness and drug treatment . Acta Endocrinol (Copenh) . In press. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

The Significance of Low Serum Thyrotropin in the Elderly-Reply

The Significance of Low Serum Thyrotropin in the Elderly-Reply

Abstract

Abstract In Reply.— We appreciate Serjeant's interest in our work1 and his suggestions as to the cause(s) of low serum thyrotropin concentration in nonhyperthyroid individuals. Indeed, with the background that patients with psychiatric disorders may display abnormal serum thyrotropin concentrations, low or high, we had carefully examined our probands and also their medical records for such disorders. In addition, about half of the study population (285 women and 152 men) had been...
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Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1991.00400110144032
Publisher site
See Article on Publisher Site

Abstract

Abstract In Reply.— We appreciate Serjeant's interest in our work1 and his suggestions as to the cause(s) of low serum thyrotropin concentration in nonhyperthyroid individuals. Indeed, with the background that patients with psychiatric disorders may display abnormal serum thyrotropin concentrations, low or high, we had carefully examined our probands and also their medical records for such disorders. In addition, about half of the study population (285 women and 152 men) had been examined by a specialist in psychiatry (Ingemar Skoog, Department of Psychiatry, University of Göteborg [Sweden]).There was no evidence for panic disorder in any of the 18 probands with a serum thyrotropin concentration lower than 0.20 mU/L who were not receiving thyroid hormone treatment. Of the 10 probands taking part in the specialist psychiatric evaluation (nine women), five had no psychiatric disorder, whereas three had an anxiety disorder (DSM-III criteria). Of 407 individuals without present or past thyroid References 1. Sundbeck G, Jagenburg R, Johansson P-M, Eden S, Lindstedt G. Clinical significance of low serum thyrotropin concentration by chemiluminometric assay in 85-year-old women and men . Arch Intern Med. 1991;151:549-556.Crossref 2. Sundbeck G, Edén S, Jagenburg R, Lindstedt G. Thyroid dysfunction in 85-year-old men and women: influence of nonthyroidal illness and drug treatment . Acta Endocrinol (Copenh) . In press.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Nov 1, 1991

References