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Article1 June 1964Isolated Thyrotropin DeficiencyReview and Report of Three CasesFRANCIS N. LOHRENZ, M.D., RAFAEL FERNANDEZ, M.D., RICHARD P. DOE, M.D.FRANCIS N. LOHRENZ, M.D.Search for more papers by this author, RAFAEL FERNANDEZ, M.D.Search for more papers by this author, RICHARD P. DOE, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-60-6-990 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptCase reports of patients with isolated deficiency of one of the tropic hormones of the pituitary gland are now well-documented, although panhypopituitarism is still by far the more common disorder (1-4). Of these isolated deficiencies, inadequate gonadotropin secretion is the most common. Tumors, idiopathic atrophy, or infarctions of the pituitary gland in adults may present with the features of hypogonadotropic hypogonadism and develop thyrotropin-stimulating hormone (TSH) and adrenocorticotropic hormone (ACTH) deficiency later in their course (1, 5, 6). Prepubertal hypogonadtropic hypogonadism also may be due to a space occupying lesion, infarction, idiopathic atrophy, or be a phase of severe debilitating...References1. PETERSGERMANMANWELT JPWJEBLG: Function of gonads, thyroid, and adrenals in hypopituitarism. Metabolism 3: 118, 1954. MedlineGoogle Scholar2. MADDOCKLEACHKLEINMYERS WORBSPGB: Selective pituitary failure: an example characterized by deficient ACTH and gonadotrophin secretion with intact thyrotrophin secretion. Amer. J. Med. Sci. 226: 509, 1953. CrossrefMedlineGoogle Scholar3. GANONGHUME WFDM: Effect of graded hypophysectomy on thyroid, gonadal, and adrenocortical function in the dog. Endocrinology 59: 293, 1956. CrossrefMedlineGoogle Scholar4. PASCHKISCANTAROW KEA: Hypopituitarism: studies in pituitary tumors and Simmond's disease. Ann. Intern. Med. 34: 669, 1951. LinkGoogle Scholar5. WILLIAMS RH: Textbook of Endocrinology. W. B. Saunders Company, Philadelphia, 1962, pp. 50 and 63. Google Scholar6. DANOWSKI TS: Clinical Endocrinology, Volume I: Pineal, Hypothalamus, Pituitary and Gonads. The Williams and Wilkins Company, Baltimore, 1962, p. 136. Google Scholar7. STEINBERGSCHECTERSEGAL AFRHI: True pituitary Addison's disease—a pituitary unitropic deficiency (15-year followup). J. Clin. Endocr. 14: 1519, 1954. CrossrefGoogle Scholar8. KLOTZROBELTUTIN HPPM: Trois cas de maladie d'Addison d'origine hypophysaire avec pigmentation cutanee. Ann. Endocr. (Paris) 19: 1031, 1958. Google Scholar9. ODELLGREENWILLIAMS WDGMRH: Hypoadrenotropism: the isolated deficiency of adrenotropic hormone. J. Clin. Endocr. 20: 1017, 1960. CrossrefGoogle Scholar10. GREENINGBAR WLSH: Decreased corticotropin reserve as isolated pituitary defect. Arch. Intern. Med. (Chicago) 108: 945, 1961. CrossrefMedlineGoogle Scholar11. PERKOFFEIK-NESCARNESTYLER GTKWHFH: Selective hypopituitarism with deficiency of anterior pituitary basophils: a case report. J. Clin. Endocr. 20: 1269, 1960. CrossrefGoogle Scholar12. CLEVELANDGREENMIGEON WWOCCJ: A case of proved adrenocorticotropin deficiency. J. Pediat. 57: 376, 1960. CrossrefMedlineGoogle Scholar13. SHUMAN CR: Hypothyroidism due to thyrotropin deficiency without other manifestations of hypopituitarism. J. Clin. Endocr. 13: 795, 1953. CrossrefGoogle Scholar14. SAMPSONROSEHERBERT MCEE: Solitary ("monotropic") thyrotropin deficiency with secondary hypothyroidism. Amer. J. Med. 17: 871, 1954. CrossrefMedlineGoogle Scholar15. MORANDICLEMONCONAMSTEIN VLGH: Die klinischen formen der hypophysenvorderlappeninsuffiizienz. Schweiz. Med. Wschr. 87: 867, 1957. MedlineGoogle Scholar16. LINSZIMMERMANN HH: Diagnose und therapie der hypophysaren schilddrusenunterfunktion. Z. Klin. Med. 156: 87, 1959. MedlineGoogle Scholar17. BERMAN DA: Fatal coronary occlusion following TSH test. Minnesota Med. 44: 370, 1961. Google Scholar18. QUERIDOSTANBURY AJB: The response of the thyroid gland to thyrotropic hormone as an aid in the differential diagnosis of primary and secondary hypothyroidism. J. Clin. Endocr. 10: 1192, 1950. CrossrefGoogle Scholar19. ABELLLEVYBRADIEKENDALL LLBBBBFF: A simplified method for the estimation of total cholesterol in serum and demonstration of its specificity. J. Biol. Chem. 195: 357, 1962. CrossrefGoogle Scholar20. BARKERHUMPHREYSOLEY SBMJMH: Clinical determination of protein bound iodine. J. Clin. Invest. 30: 55, 1951. CrossrefMedlineGoogle Scholar21. MCCULLAGHBOWMAN DRWE: Extraction and assay of gonadotropic hormones from human male urine. Endocrinology 27: 525, 1940. CrossrefGoogle Scholar22. KLENDSHOJFELDSTEINSPRAGUE NCMA: Determination of 17-ketosteroids in urine. J. Clin. Endocr. 13: 922, 1953. CrossrefGoogle Scholar23. PETERSONKARRERGUERRA REASL: Evaluation of Silber-Porter procedure for determination of plasma hydrocortisone. Analyt. Chem. 29: 144, 1957. CrossrefGoogle Scholar24. SILBERPORTER RHCK: The determination of 17,21-dihydroxy-20-ketosteroids in urine and plasma. J. Biol. Chem. 210: 923, 1954. CrossrefMedlineGoogle Scholar25. CHRISTYWALLACEJAILER NPEZJW: The effect of intravenously administered ACTH on plasma 17,21-dihydroxy-20-ketosteroids in normal individuals and in patients with disorders of the adrenal cortex. J. Clin. Invest. 34: 899, 1955. CrossrefMedlineGoogle Scholar26. HENKEDOEJACOBSON WJRPME: A test of pituitary reserve utilizing intravenous SU-4885, with a new method for extraction of 11-desoxycorticosteroids. J. Clin. Endocr. 20: 1527, 1960. CrossrefMedlineGoogle Scholar27. LAWSON JD: The free Achilles reflex in hypothyroidism and hyperthyroidism. New Eng. J. Med. 259: 761, 1958. CrossrefMedlineGoogle Scholar28. STANLEYASTWOOD MLEB: The response of the thyroid gland in normal human subjects to the administration of thyrotropin, as shown by studies with I131. Endocrinology 44: 49, 1949. CrossrefMedlineGoogle Scholar29. PERLOFFLEVYDESPOPOULOUS WHLMA: The use of thyrotropic hormone (TSH) in the diagnosis of myxedema. J. Clin. Endocr. 11: 1495, 1951. CrossrefGoogle Scholar30. SCHNEEBERGPERLOFFLEVY NGWHLM: Diagnosis of equivocal hypothyroidism, using thyrotropic hormone (TSH). J. Clin. Endocr. 14: 223, 1954. CrossrefGoogle Scholar31. BISHOPRICGARRETTNICHOLSON GANHWM: Clinical value of the TSH test in the diagnosis of thyroid diseases. Amer. J. Med. 18: 15, 1955. CrossrefMedlineGoogle Scholar32. FRIISCHRISTENSENANDERSEN TLKMS: The value of the thyrotropin stimulation test in the diagnosis of myxoedema. Acta Med Scand., 163: 507, 1959. CrossrefMedlineGoogle Scholar33. JEFFRIESLEVYSTORAASLI WMRPJP: Use of the TSH test in the diagnosis of thyroid disorders. Radiology 73: 341, 1959. CrossrefMedlineGoogle Scholar34. GOOLDEN AW: Use of radioactive iodine in the diagnosis of thyroid disorders. Brit. Med. Bull. 16: 105, 1960. CrossrefMedlineGoogle Scholar35. WERNERHAMILTONLEIFERGOODWIN SCHBELD: An appraisal of radioiodine tracer technic as a clinical procedure in the diagnosis of thyroid disorders. J. Clin. Endocr. 10: 1054, 1950. CrossrefGoogle Scholar36. HUDSONWINIKOFFTAFTMARTIN BDPFI: Thyroid stimulating hormone and triiodothyronine tests as aids in diagnosis of thyroid disorders. Aust. Ann. Med. 9: 194, 1960. MedlineGoogle Scholar37. BOWERSMURISONGORDONLOCKE CYPJDLW: Effect of thyrotropin on the serum protein bound iodine level in various thyroid states (TSH-PBI test). J. Clin. Endocr. 21: 465, 1961. CrossrefGoogle Scholar38. STATLANDLERMAN HJ: Function of the adrenal cortex in myxedema, with some observations on pituitary function. J. Clin. Endocr. 10: 1401, 1950. CrossrefGoogle Scholar39. BEIERWALTESBISHOP WHRC: 17-Ketosteroid and pituitary follicle-stimulating hormone excretion in myxedema, before and during treatment with thyroxine. J. Clin. Endocr., 14: 928, 1954. CrossrefGoogle Scholar40. VAN ARSDELWILLIAMS PPRH: Simmond's disease: evaluation of certain laboratory tests used in diagnosis. Amer. J. Med. 20: 4, 1956. CrossrefMedlineGoogle Scholar41. FRIEDGOOD HB: On the physiological significance of the abnormally decreased or absent 17-ketosteroid excretion in Addison's disease, panhypopituitarism and myxedema (abstract). Fed. Proc. 1: 26, 1942. Google Scholar42. TALBOTBUTLERBERMANRODRIGUEZMACLACHLAN NBAMRAPMEA: Excretion of 17-ketosteroids by normal and by abnormal children. Amer. J. Dis. Child. 65: 364, 1943. Google Scholar43. ENGSTROMMASON WWHL: Excretion of 17-ketosteroid in patients with hyperthyroidism and myxedema. J. Clin. Endocr. 4: 517, 1944. CrossrefGoogle Scholar44. BROWNENGLERTWALLACH HES: Metabolism of free and conjugated 17-hydroxycorticosteroids in subjects with thyroid disease. J. Clin. Endocr. 18: 167, 1958. CrossrefMedlineGoogle Scholar45. LIDDLEESTEPKENDALLWILLIAMSTOWNES GWHLJWWCAW: Clinical application of a new test of pituitary reserve. J. Clin. Endocr. 19: 875, 1959. CrossrefMedlineGoogle Scholar46. GOLDKENTFORSHAM EMJRPH: Clinical use of a new diagnostic agent, methopyrapone (SU-4885), in pituitary and adrenocortical disorders. Ann. Intern. Med. 54: 175, 1961. LinkGoogle Scholar47. GREER MA: Studies on the influence of the central nervous system on anterior pituitary function. Recent Progr. Hormone Res. 13: 67, 1957. MedlineGoogle Scholar48. HARRISWOODS GWJW: The effect of electrical stimulation of the hypothalamus or pituitary gland on thyroid activity. J. Physiol. 143: 246, 1958. CrossrefMedlineGoogle Scholar49. SHIZUMEMATSUDAIRIEIINOISHIINAGATAKIMATSUZAKIOKINAKA KKMSJSFS: Effect of electrical stimulation of the hypothalamus on thyroid function. Endocrinology 70: 298, 1962. CrossrefMedlineGoogle Scholar50. SCHREIBERKMENTOVA VV: Demonstration of TRF (thyrotrophin-releasing factor) activity of a fraction of bovine hypothalamic extracts in rats in vivo. Physiol. Bohemoslov. 12: 358, 1963. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: FRANCIS N. LOHRENZ, M.D.; RAFAEL FERNANDEZ, M.D.; RICHARD P. DOE, M.D.Affiliations: Minneapolis, MinnesotaFrom the Medical Service, Minneapolis Veterans Administration Hospital, and the Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota.This work was supported in part by grant CA05371, United States Public Health Service, Bethesda, Maryland.Requests for reprints should be addressed to Richard P. Doe, M.D., Chief, Metabolic Section, Veterans Administration Hospital, 54th Street and 48th Avenue South, Minneapolis, Minnesota 55417. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byA Case of Isolated Thyroid Stimilating Hormone DeficiencyA Case of Idiopathic Thyrotropin TSH DeficiencyIsolated TSH deficiency with a partially empty sellaCentral Hypothyroidism—Trophoprivic HypothyroidismFamilial Isolated Thyrotropin Deficiency with CretinismAcral Changes in Thyroid DisordersDie pathologische Morphologie der endokrinen RegulationsstörungenEndokrinologie in der KinderheilkundeInhibitors of adrenal cortical functionPseudohypoparathyroidism and selective deficiency of thyrotropin: An interesting associationHypopituitarism: A Study of Growth Hormone and Other Endocrine FunctionsMITCHELL T. RABKIN, M.D., ANDREW G. FRANTZ, M.D.Inhibitors of adrenal cortical function 1 June 1964Volume 60, Issue 6 Page: 990-998 Keywords Adrenocorticotropic hormone Atrophy Hospital medicine Hypogonadism Infarction Medical services Pituitary gland Prolactin Thyroid Thyroid-stimulating hormone ePublished: 1 December 2008 Issue Published: 1 June 1964 PDF downloadLoading ...
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