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Biomedical subjects

V Mihailovic

Publications and source records attributed to V Mihailovic.

3 recordsLinked to original sources

Improvement in ratings of tension after TRH administration in healthy women.

Administration of thyrotropin releasing hormone (TRH), 400 micrograms i.v., to healthy premenopausal women resulted in improvement in ratings of tension on the 100 mm line test. The max. mean improvement in tension ratings was significantly greater after TRH than after saline (t = 2.27, df = 9, p less than 0.05); after TRH administration, eight of 10 subjects showed greater than 30% improvement in tension ratings, while only three of 10 subjects receiving saline reported a comparable degree of improvement. No significant improvement in ratings of mood state were noted after administration of either TRH or saline. These findings extend previous reports of behavioral effects of TRH in normal subjects. The possibility that the behavioral effects of TRH may be influenced by the state of activity of the CNS is discussed.

Adult↗

Hyperthyroidism due to excess thyrotropin secretion: follow-up studies.

Follow-up studies of a woman with hyperthyroidism due to excessive TSH secretion, previously reported (1), are described. For most of the ensuing years, she has been treated with methimazole. On several occasions, methimazole was discontinued; each time elevations of serum TSH, T4, and T3 concentrations, similar in magnitude to those originally present, occurred. Initially, her serum TSH concentrations fell substantially after dexamethasone administration and did not change after TRH. The same responses have occurred on several occasions during the follow-up period. Serum glycoprotein alpha-subunit and TSH-beta concentrations were normal and did not change after TRH administration, but serum alpha-subunit declined during dexamethasone and increased slightly after gonadotropin-releasing hormone. No increase in serum TSH occurred after TRH administration when TSH secretion was decreased by dexamethasone administration. No evidence of pituitary enlargement has developed during the 7-yr follow-up period. The cause of this patient's excessive TSH secretion remains unknown, but her TSH secretory dynamics are most consistent with those found in patients who had TSH-secreting pituitary adenomas reported in recent years.

Adult↗