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血清促甲状腺素受体抗体(TRAb)指数和人类白细胞抗原(HLA)状态预测格雷夫斯病药物治疗后甲状腺毒症长期缓解的能力。

The ability of the serum thyrotrophin receptor antibody (TRAb) index and HLA status to predict long-term remission of thyrotoxicosis following medical therapy for Graves' disease.

作者信息

Wilson R, McKillop J H, Henderson N, Pearson D W, Thomson J A

出版信息

Clin Endocrinol (Oxf). 1986 Aug;25(2):151-6. doi: 10.1111/j.1365-2265.1986.tb01676.x.

DOI:10.1111/j.1365-2265.1986.tb01676.x
PMID:3491692
Abstract

In agreement with previous authors we found patients with Graves' disease to have an increased incidence of the DR 3 antigen. We could find no association, however, between the presence of the antigen and relapse after carbimazole treatment. A concordant HLA status and thyrotrophin receptor antibody (TRAb) index, obtained at either 6 or 12 months after the start of treatment could only predict cases of relapse and remission in a minority of patients making this of very limited clinical use. The TRAb index obtained at 12 months after the start of medical therapy could accurately predict cases of relapse and remission for the next 3 years in 24/30 patients studied.

摘要

与先前的作者一致,我们发现格雷夫斯病患者的DR3抗原发生率增加。然而,我们未发现抗原的存在与卡比马唑治疗后的复发之间存在关联。在治疗开始后6个月或12个月获得的一致的HLA状态和促甲状腺素受体抗体(TRAb)指数仅能预测少数患者的复发和缓解情况,临床应用非常有限。在药物治疗开始后12个月获得的TRAb指数能够准确预测所研究的30例患者中24例在接下来3年的复发和缓解情况。

相似文献

1
The ability of the serum thyrotrophin receptor antibody (TRAb) index and HLA status to predict long-term remission of thyrotoxicosis following medical therapy for Graves' disease.血清促甲状腺素受体抗体(TRAb)指数和人类白细胞抗原(HLA)状态预测格雷夫斯病药物治疗后甲状腺毒症长期缓解的能力。
Clin Endocrinol (Oxf). 1986 Aug;25(2):151-6. doi: 10.1111/j.1365-2265.1986.tb01676.x.
2
Can thyroid stimulating hormone levels by TSH (IRMA) predict relapse of thyrotoxicosis following carbimazole treatment?采用免疫放射分析法(IRMA)检测的促甲状腺激素(TSH)水平能否预测卡比马唑治疗后甲状腺毒症的复发?
Postgrad Med J. 1987 Sep;63(743):755-6. doi: 10.1136/pgmj.63.743.755.
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Prediction of outcome in Graves' disease after carbimazole treatment.卡比马唑治疗后Graves病的预后预测
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2
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The Clinical Value and Variation of Antithyroid Antibodies during Pregnancy.
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Pediatric Graves' disease: management in the post-propylthiouracil Era.儿童格雷夫斯病:丙硫氧嘧啶时代后的管理
Int J Pediatr Endocrinol. 2014;2014(1):10. doi: 10.1186/1687-9856-2014-10. Epub 2014 Jun 16.
5
Thyroid-stimulating antibody and TSH-binding inhibitor immunoglobulin in 277 Graves' patients and in 686 normal subjects.277例格雷夫斯病患者及686名正常受试者体内的促甲状腺素抗体和促甲状腺素结合抑制性免疫球蛋白
J Endocrinol Invest. 1997 Sep;20(8):452-61. doi: 10.1007/BF03348001.
6
Graves' disease: immunological and immunogenetic indicators of relapse.格雷夫斯病:复发的免疫及免疫遗传学指标
Br Med J (Clin Res Ed). 1988 May 7;296(6632):1292-5. doi: 10.1136/bmj.296.6632.1292.
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Antithyroid drug and Graves' hyperthyroidism. Significance of treatment duration and TRAb determination on lasting remission.抗甲状腺药物与格雷夫斯病甲亢。治疗持续时间和促甲状腺素受体抗体测定对持久缓解的意义。
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