Thyroid-Associated Orbitopathy and Biomarkers: Where We Are and What We Can Hope for the Future.

Autor: Turck N; Optics Group, Department of Human Protein Sciences, University Medical Center, Geneva, Switzerland., Eperon S; Department of Ophthalmology, Jules-Gonin Eye Hospital, Fondation Asile des Aveugles, University of Lausanne, Lausanne, Switzerland., De Los Angeles Gracia M; Optics Group, Department of Human Protein Sciences, University Medical Center, Geneva, Switzerland., Obéric A; Department of Ophthalmology, Jules-Gonin Eye Hospital, Fondation Asile des Aveugles, University of Lausanne, Lausanne, Switzerland., Hamédani M; Department of Ophthalmology, Jules-Gonin Eye Hospital, Fondation Asile des Aveugles, University of Lausanne, Lausanne, Switzerland.
Jazyk: angličtina
Zdroj: Disease markers [Dis Markers] 2018 Mar 15; Vol. 2018, pp. 7010196. Date of Electronic Publication: 2018 Mar 15 (Print Publication: 2018).
DOI: 10.1155/2018/7010196
Abstrakt: Background: Thyroid-associated orbitopathy (TAO) is the most common autoimmune disease of the orbit. It occurs more often in patients presenting with hyperthyroidism, characteristic of Graves' disease, but may be associated with hypothyroidism or euthyroidism. The diagnosis of TAO is based on clinical orbital features, radiological criteria, and the potential association with thyroid disease. To date, there is no specific marker of the orbital disease, making the early diagnosis difficult, especially if the orbital involvement precedes the thyroid dysfunction.
Summary: The goal of this review is to present the disease and combine the available data in the literature concerning investigation of TAO biomarkers.
Conclusions: Despite the progress done in the understanding of TAO disease, some important pieces are still missing. Typically, for the future, major efforts have to be done in the discovery of new biomarkers, validation of the suspected candidates on multicenter cohorts with standardized methodologies, and establishment of their clinical performances on the specific clinical application fields in order to improve not only the management of the TAO patients but also the therapeutic options and follow-up.
Databáze: MEDLINE
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