DERMATOLOGISTS regard the administration of thyroid extract as helpful for many cutaneous conditions. However, the concept of its value in many cases is vague, as evidenced by such textbook statements as "thyroid may be helpful." Our discussion and case reports will attempt to show that it may be possible to evaluate the need for thyroid therapy in chronic dermatoses. We will point out that a high basal metabolic rate in itself is not a contraindication to the administration of thyroid if the blood plasma cholesterol is high. We feel that internists do not commonly appreciate that a basal metabolic rate may be falsely high in a patient with a general dermatosis and that dermatologists do not commonly appreciate the fact that hypercholesteremia may indicate hypothyroidism.
Edelman1 reported the cure of eczema with thyroid extract; recurrences and remissions were brought on by withdrawing and renewing its administration. Tauber2 used
TOMLINSON CC, CAMERON OJ. AN ANALYSIS OF BASAL METABOLIC RATE AND BLOOD CHOLESTEROL DETERMINATIONS. Arch Derm Syphilol. 1949;59(1):22–30. doi:10.1001/archderm.1949.01520260026004
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