Anti-Eye Muscle Antibodies and Hypothyroid Graves' Disease: A Case Report
| Autor: | Shinichi Kurose, Kyohei Nonaka, Kiminori Sato, Masayuki Sato, Kiyoko Tanaka, Akihiko Nakashima, Tomoaki Hoshino, Kazuyuki Kojima, Yuji Hiromatsu |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Male
Thyroid Hormones endocrine system medicine.medical_specialty Pathology Eye Diseases genetic structures endocrine system diseases Lithium (medication) Graves' disease Eye disease Blotting Western Thyroid Gland Levothyroxine Lithium Methylprednisolone Thyroglobulin Endocrinology Hypothyroidism Internal medicine Immunopathology medicine Humans Aged Autoantibodies Autoimmune disease medicine.diagnostic_test business.industry Thyroid General Engineering Magnetic resonance imaging medicine.disease Magnetic Resonance Imaging Graves Disease eye diseases Thyroxine medicine.anatomical_structure Oculomotor Muscles Tomography X-Ray Computed business Immunoglobulins Thyroid-Stimulating medicine.drug |
| Zdroj: | Endocrinologia Japonica. 39:593-600 |
| ISSN: | 2185-6370 0013-7219 |
| DOI: | 10.1507/endocrj1954.39.593 |
| Popis: | We report the case of a 70-year-old man who developed hypothyroidism associated with TSH receptor antibodies and severe ophthalmopathy during lithium therapy. He had received lithium therapy for more than 20 years for manic depression, when ophthalmopathy (class VI of the American Thyroid Association classification) and mild hypothyroidism developed. Orbital magnetic resonance imaging indicated marked enlargement of the superior, medial and inferior rectus muscles in the left eye. He had anti-eye muscle antibodies in his serum, detected by Western blotting and quantified by chromatoscanning, as well as anti-TSH receptor antibodies. He was treated with supplementation of levothyroxine and four cycles of methylprednisolone pulse therapy. After the pulse therapy, both anti-eye muscle antibodies and anti-TSH receptor antibodies decreased and disappeared in parallel with the improvement in eye symptoms and signs. These observations suggest the importance of anti-eye muscle antibodies as clinical markers in the development of thyroid-associated ophthalmopathy. |
| Databáze: | OpenAIRE |
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