This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (60)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

John E. Morley, MB, ChB; Rex B. Shafer, MD

Arch Intern Med. 1982;142(3):591-593.

Abstract
• Thyroid function screening may be of value in psychiatric patients. The present study was undertaken to determine the incidence of thyroid abnormalities in psychiatric patients during short-term admissions. Results of thyroid function tests disclosed an elevated free thyroxine index (FT₄I) and free triiodothyronine index (FT₃I) in 19% of 386 psychiatric patients during short-term admissions to the Minneapolis Veterans Administration Medical Center. Elevated test results were particularly common in paranoid schizophrenics (38%) and in patients with amphetamine abuse (32%). On retesting, at two to three weeks after hospitalization, the FT₄I and FT₃I had returned to normal in 13 of 16 and 17 of 17 patients, respectively. Undiagnosed hypothyroidism was found in four patients with a diagnosis of manic-depressive psychosis on hospital admission. Serial sampling needs to be undertaken to assess the most appropriate time for thyroid function testing after short-term psychiatric admission.

(Arch Intern Med 1982;142:591-593)

Author Affiliations
From the Neuroendocrine Research Laboratory (Dr Morley) and Departments of Medicine (Drs Morley and Shafer) and Nuclear Medicine (Dr Shafer), Veterans Administration Medical Center and University of Minnesota, Minneapolis.

Footnotes
Accepted for publication Sept 17, 1981.

Reprint requests to Nuclear Medicine Service (115), VA Medical Center, 54th Street and 48th Avenue S, Minneapolis, MN 55417 (Dr Shafer).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

The Role of Mitochondrial Uncoupling in 3,4-Methylenedioxymethamphetamine-Mediated Skeletal Muscle Hyperthermia and Rhabdomyolysis
Rusyniak et al.
J. Pharmacol. Exp. Ther. 2005;313:629-639.
ABSTRACT | FULL TEXT  

Diagnosis of Thyroid Disease in Hospitalized Patients: A Systematic Review
Attia et al.
Arch Intern Med 1999;159:658-665.
ABSTRACT | FULL TEXT  

Effect of Antidepressant Medication on Morning and Evening Thyroid Function Tests During a Major Depressive Episode
Duval et al.
Arch Gen Psychiatry 1996;53:833-840.
ABSTRACT  

Limitations to the Use of a Sensitive Assay for Serum Thyrotropin in the Assessment of Thyroid Status
Ehrmann et al.
Arch Intern Med 1989;149:369-372.
ABSTRACT  

Propranolol-Induced Hyperthyroxinemia
Mooradian et al.
Arch Intern Med 1983;143:2193-2195.
ABSTRACT  

The Interpretation of Thyroid Function Tests in Hospitalized Patients
Morley et al.
JAMA 1983;249:2377-2379.
ABSTRACT  

Euthyroid Hyperthyroxinemia
BORST et al.
ANN INTERN MED 1983;98:366-378.
ABSTRACT