Heterogeneity of serum prolactin in patients with menstrual disorder in conjunction with hyperthyroxinemia

Hajime Tamai, O. Mizuno, A. Takaki, K. Kiyohara, G. Komaki, S. Matsubayashi, K. Kuma, L. F. Kumagai, S. Nagataki

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Abstract

Since the secretion of PRL is regulated by the hypothalamic-pituitary axis, an increase in large molecular size PRL in the serum is most likely due to secretion by the pituitary itself. The present study was performed to investigate the possible occurrence of PRL heterogeneity in 128 subjects with menstrual disorder in conjunction with hyperthyroxinemia (88 with untreated Graves’ disease, 40 with subacute thyroiditis) and 50 age- and sex-matched healthy controls. All 128 patients in this study were suffering from amenorrhea or oligomenorrhea at the time of their initial visit. PRL heterogeneity was found in the sera of 5 of 88 (5.7%) patients with untreated Graves’ disease, in 2 of 40 (5.0%) patients with subacute thyroiditis, but in none of the normal controls. PRL heterogeneity remained essentially unchanged in patients with Graves’ disease over 6 months of treatment; however, in patients with subacute thyroiditis, either big-big PRL or big PRL decreased significantly along with a corresponding increase in little PRL associated with recovery from the illness within 6 months. The menstrual disorders in all patients were restored to normal after restoration to a euthyroid state. The underlying cause of the occurrence of PRL heterogeneity in patients with menstrual disorder in conjunction with hyperthyroxinemia is not known.

Original languageEnglish
Pages (from-to)679-684
Number of pages6
JournalJournal of Endocrinological Investigation
Volume14
Issue number8
DOIs
Publication statusPublished - Sep 1991

All Science Journal Classification (ASJC) codes

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

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    Tamai, H., Mizuno, O., Takaki, A., Kiyohara, K., Komaki, G., Matsubayashi, S., Kuma, K., Kumagai, L. F., & Nagataki, S. (1991). Heterogeneity of serum prolactin in patients with menstrual disorder in conjunction with hyperthyroxinemia. Journal of Endocrinological Investigation, 14(8), 679-684. https://doi.org/10.1007/BF03347893