T3 toxicosis in the middle region of Iraq

More than nine thousands patients with differing thyroid gland dysfunction attending the thyroid clinic at the main national Center for thyroid dysfunction investigation and treatment in Iraq were examined in an attempt to find cases of T3 toxicosis in this part of country. One hundred eighty nine cases met the diagnostic criteria for the diagnosis of T3 toxicosis suggested by Hollander et al in 1972. These represented about 2% of the total cases studied and 22% of the hyperthyroid cases

Thyroid function in patients with chronic renal failure

Ninety-four patients with chronic renal failure were categorized into three groups: twelve conservatively-treated patients, nineteen patients treated by peritoneal dialysis, and sixty-three patients treated by haemodialysis [HD]. Thirty-eight healthy subjects were used as controls. All patient groups studied showed a reduction in serum total thyroxine [T4] and serum total triiodothyronine [T3] with normal serum thyroid stimulating hormone [TSH]. All conservatively-treated patients [group 1] exhibited significant reduction [P<0.01] in serum T4 and T3 values when compared with the control group. Fifty-three% of patients treated by peritoneal dialysis [group II] displayed a significant reduction [P<0.05] in serum T4 in comparison with the control group, an eighty-four% of Them had lower serum T3 values [P<0.01]. Eighty-nine% of patients nested by haemodialysis [group Ill] Showed a reduction in total T4, while sixty% of patients remained with low serum T4 post-dialysis [P<0.05]. Seventy nine% of group Ill demonstrate low serum T3 values predialysis, and fifty-two patient of them had reduced serum T3 after dialysis [P<0.05]. A different of low serum T4 and T3 syndrome in the three groups studied may be suggested. The mean serum TSR value could not be taken as a parameter to depend upon due to individual variations

Ischemic heart disease and hypertension complicating diabetes mellitus in Najaf

Five hundred and sixty four newly registered diabetic patients at diabetic clinic at Saddam Teaching Hospital in Najaf during the period December 1985 - November 1987 were studied. They were clinically assessed thoroughly to look at the occurrence of hypertension [HBP] and ischemic heart disease [IHD]. HBP was found in 5.5% [4 out of 73] and 16.1% [79 out of 491] of patients with type I [insulin-dependant diabetes mellitus IDDM] and type II [non insulin-dependant diabetes mellitus NIDDM] respectively with an overall occurrence of 14.75 [83out of 564]. Electrocardiographic [ECG] abnormalities indicative of IHD were found in 6.7% of cases [38 out of 564]. This indicates the necessity for the survey of each patient with D.M. for he presence of IHD and/or HBP