title: Elevated serum thyrotropin [TSH] levels in critically ill patients with acquired immunodeficiency syndrome (AIDS).
abstract: OBJECTIVE
  To determine thyrotropin (TSH) reserve in critically ill patients with Acquired Immunodeficiency Syndrome (AIDS).
  
  
  METHODS
  Prospective longitudinal.
  
  
  METHODS
  Six hundred (600) bed municipal hospital serving a poor neighborhood in New York City with a high incidence of AIDS mainly from intravenous drug abuse.
  
  
  METHODS
  Twelve (12) patients with AIDS, who were in the Intensive Care Unit or critically ill on medical wards, were evaluated consecutively with baseline thyroid function tests and serum thyrotropin (TSH) response to thyroid releasing hormone testing.
  
  
  RESULTS
  66.7% of patients had elevated TSH levels. All patients had low triiodothyronine (T3), six patients had low thyroxine (T4) levels.
  
  
  RESULTS
  (cont'd). Six patients met the criteria for hypothyroidism. Two patients met the criteria for subclinical hypothyroidism.
  
  
  CONCLUSIONS
  Elevated TSH levels and hypothyroidism are common in our critically ill population with AIDS.
authors.affiliation: Woodhull Medical and Mental Health Center, Department of Medicine New York.
authors.forename: S A
authors.initials: SA
authors.lastname: Peter
authors.forename: J M
authors.initials: JM
authors.lastname: Ortiz
authors.forename: R
authors.initials: R
authors.lastname: Vergara
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000097:blood / Q000150:complications / Q000503:physiopathology*; D000328:Adult; D006801:Humans; D007037:Hypothyroidism / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013972:Thyrotropin / Q000097:blood*; D013974:Thyroxine / Q000097:blood; D014284:Triiodothyronine / Q000097:blood
chemical_list: D014284:Triiodothyronine; D013972:Thyrotropin; D013974:Thyroxine