The
127I suppression test was carried out in 63 healthy persons and 87 patients with hyperthyroidism. Thyroidal iodine uptake was measured in the various concentrations of blood iodine, and the effects of TSH and antithyroid drugs on the thyroidal iodine uptake were observed by this method.
In order to clarify the mechanism of recovery from hyperthyroidism, TSH test and triiodothyronine suppression test were carried out throughout the antithyroid drug therapy in patients with hyperthyroidism. The thyroidal
131I uptake increase after the administration of TSH was slight or none in untreated 29 patients with hyperthyroidism. On the contrary, thyroidal
131I uptake decrease after administration of TSH was observed in 11 cases among 40 patients with hyperthyroidism.
By tracing daily variation of thyroidal
131I uptake, inhibitions of thyroidal
131I uptake were observed during the administration of antithyroid drug, and rebound phenomena of thyroidal
121I uptake were observed after the interruption of administration. In these cases, thyroidal a
131I uptake decrease after the administration of TSH was observed.
After normalization of thyroidal function tests, B.M.R., P.B.I. with the administration of antithyroid drug, the treatment should be continued for more than 1-2 years. The TSH test in some of these cases, very remarkably increased in thyroidal
131I uptake (34.6 ± 9.0 in the mean) were observed by the TSH test. Those were named “over respose group”.
The TSH test for this group was followed up for 5 years, which had much the same value for healthy persons.
T
3 suppression tests were carried out in 12 healthy persons and 42 patients with hyperthyroidism. Suppression of thyroidal
131I uptake after administration of triiodothyronine was not observed in the untreated 12 patients with hyperthyroidism, but thyroidal
131I uptake was remarkably suppressed in 11 cases of 17 patients who had been in remission with antithyroid drugs therapy, so that feed-back relation of pituitary thyroid axis might be recovered previous to the healing of hyperthyroidism.
Thyroid reserve action capacity gradually diminished, and triiodothronine suppression test for the cured group had much the same value as healthy persons.
The result of antithyroid drug treatment was investigated in 100 patients with hyperthyroidism between 3 and 5 years after discontinuance of treatment, and the relationship of sex, age, degree of goiter, exophthalmos, duration of antithyroid drugs, and total doses, as well as the results of treatment, were reported. Twenty-four hrs. thyroidal
131I uptake for 41 cases of this cured group showed under 40%, and recoveries of their feed-back relation were recognized in TSH test and triiodothyronine suppression test.
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