Efficacy of bromocriptine administration for selective pituitary resistance to thyroid hormone

Horm Res. 1993;39(5-6):229-34. doi: 10.1159/000182741.

Abstract

The relation between thyroid-stimulating hormone (TSH) and triiodothyronine (T3) was evaluated in a girl with the selective pituitary type of thyroid hormone resistance for more than 7 years to clarify whether bromocriptine was an effective treatment or not. Levels of T3 (before: 2.44 +/- 0.64 nmol/l, mean +/- SD) and TSH (4.81 +/- 2.52 mU/l) were significantly decreased during therapy (T3: 2.15 +/- 0.44 nmol/l; TSH: 1.59 +/- 0.78 mU/l). T3 x TSH, calculated as one of the indices of pituitary resistance, on bromocriptine therapy (3.229 +/- 1.255 mU/l x nmol/l) was significantly (p < 0.005) smaller than the product before the administration (11.298 +/- 5.891 mU/l x nmol/l). The results suggest that bromocriptine should be one of the agents initially considered for the treatment of pituitary resistance to thyroid hormone.

Publication types

  • Case Reports

MeSH terms

  • Bromocriptine / therapeutic use*
  • Child
  • Drug Resistance
  • Female
  • Humans
  • Hyperthyroidism / drug therapy*
  • Hyperthyroidism / physiopathology
  • Pituitary Gland / drug effects*
  • Pituitary Gland / physiopathology*
  • Thyroid Hormones / physiology*
  • Thyrotropin / blood
  • Triiodothyronine / blood

Substances

  • Thyroid Hormones
  • Triiodothyronine
  • Bromocriptine
  • Thyrotropin