Kálmán K, Nagy E, Leövey A
Debreceni Orvostudományi Egyetem, I. sz. Belgyógyászati Klinika.
Orv Hetil. 1990 Jul 8;131(27):1481-3.
Two cases of Graves' disease emerging in previously hypothyroid patients are described. After two years of thyroid hormone substitution due to 'idiopathic' hypothyreosis (patient 1) and Hashimoto's thyroiditis (patient 2), the substitution had to be stopped. The persisting clinical and laboratory signs of immune hyperthyreosis, including positivity for TBII and TSAb, were accompanied by the signs of mild ophthalmopathy. The antibody-spectrum changes during the course of the disease are discussed.
本文描述了两例既往甲状腺功能减退患者出现格雷夫斯病的病例。患者1因“特发性”甲状腺功能减退症、患者2因桥本甲状腺炎接受了两年的甲状腺激素替代治疗后,不得不停止替代治疗。持续存在的免疫性甲状腺功能亢进的临床和实验室体征,包括促甲状腺素受体抗体(TBII)和促甲状腺素受体刺激性抗体(TSAb)阳性,同时伴有轻度眼病体征。文中讨论了疾病过程中的抗体谱变化。