SEARCH FOR TARGET TISSUE IN THE EYE ORBIT FOR AUTOIMMUNE AGGRESSION OF THYROID ANTIBODIES IN ENDOCRINE OPHTHALMOPATHY

We searched for a possible target tissue in eye orbit for thyroid autoantibodies in endocrine ophthalmopathy (Graves’ disease), using correlation analysis method. We examined a group of 139 patients (278 eye orbits) with thyroid-associated ophthalmopathy associated with diffuse toxic goiter. Serolog...

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Autores principales: V. G. Likhvantseva, M. S. Afanasiev, E. A. Rudenko, A. V. Karaulov, E. V. Korostelyova
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Publicado: SPb RAACI 2017
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spelling oai:doaj.org-article:0511af3a01fc4c2c8ed8ce045e3367112021-11-18T08:03:46ZSEARCH FOR TARGET TISSUE IN THE EYE ORBIT FOR AUTOIMMUNE AGGRESSION OF THYROID ANTIBODIES IN ENDOCRINE OPHTHALMOPATHY1563-06252313-741X10.15789/1563-0625-2017-5-557-566https://doaj.org/article/0511af3a01fc4c2c8ed8ce045e3367112017-10-01T00:00:00Zhttps://www.mimmun.ru/mimmun/article/view/1357https://doaj.org/toc/1563-0625https://doaj.org/toc/2313-741XWe searched for a possible target tissue in eye orbit for thyroid autoantibodies in endocrine ophthalmopathy (Graves’ disease), using correlation analysis method. We examined a group of 139 patients (278 eye orbits) with thyroid-associated ophthalmopathy associated with diffuse toxic goiter. Serological parameters (antibodies to thyroid-stimulating hormone receptor; thyroglobulin, thyroid peroxidase) were compared with instrumental diagnostic data (multi-layer CT, ultrasonography of eye orbit, and exophthalmometer), as well as clinical symptoms. Statistical correlation analysis enabled us to show different degrees of association between thyroid antibodies and clinical manifestations of Graves’ disease and eye orbit involvement. Especially, carriers of antibodies to TSH receptor and thyroglobulin (as compared to seronegative patients) exhibited higher exophthalmos scores (19.16±0.26 mm, p < 0.001, and 19.41±0.40 mm, p < 0.05, respectively), and with total muscle index (2.42±0.05, p < 0.01, and 2.42±0.08, respectively). Meanwhile, eyelids in carriers of antibodies to TSH receptor and thyroid peroxidase proved to be more swollen (p < 0.001, p < 0.05, respectively). Carriage of antibodies to thyroglobulin was associated with synchronous involvement of two structures of the eye orbit: extraocular muscles and retrobulbar tissue, which is reflected by increase in the average ntegral exophthalmos index within the group.V. G. LikhvantsevaM. S. AfanasievE. A. RudenkoA. V. KaraulovE. V. KorostelyovaSPb RAACIarticlethyroid-associated ophthalmopathygraves’ diseasethyroid antibodiestsh receptorthyroglobulin antibodiesthyroid peroxidase antibodyeye orbitexophthalmosImmunologic diseases. AllergyRC581-607RUMedicinskaâ Immunologiâ, Vol 19, Iss 5, Pp 557-566 (2017)
institution DOAJ
collection DOAJ
language RU
topic thyroid-associated ophthalmopathy
graves’ disease
thyroid antibodies
tsh receptor
thyroglobulin antibodies
thyroid peroxidase antibody
eye orbit
exophthalmos
Immunologic diseases. Allergy
RC581-607
spellingShingle thyroid-associated ophthalmopathy
graves’ disease
thyroid antibodies
tsh receptor
thyroglobulin antibodies
thyroid peroxidase antibody
eye orbit
exophthalmos
Immunologic diseases. Allergy
RC581-607
V. G. Likhvantseva
M. S. Afanasiev
E. A. Rudenko
A. V. Karaulov
E. V. Korostelyova
SEARCH FOR TARGET TISSUE IN THE EYE ORBIT FOR AUTOIMMUNE AGGRESSION OF THYROID ANTIBODIES IN ENDOCRINE OPHTHALMOPATHY
description We searched for a possible target tissue in eye orbit for thyroid autoantibodies in endocrine ophthalmopathy (Graves’ disease), using correlation analysis method. We examined a group of 139 patients (278 eye orbits) with thyroid-associated ophthalmopathy associated with diffuse toxic goiter. Serological parameters (antibodies to thyroid-stimulating hormone receptor; thyroglobulin, thyroid peroxidase) were compared with instrumental diagnostic data (multi-layer CT, ultrasonography of eye orbit, and exophthalmometer), as well as clinical symptoms. Statistical correlation analysis enabled us to show different degrees of association between thyroid antibodies and clinical manifestations of Graves’ disease and eye orbit involvement. Especially, carriers of antibodies to TSH receptor and thyroglobulin (as compared to seronegative patients) exhibited higher exophthalmos scores (19.16±0.26 mm, p < 0.001, and 19.41±0.40 mm, p < 0.05, respectively), and with total muscle index (2.42±0.05, p < 0.01, and 2.42±0.08, respectively). Meanwhile, eyelids in carriers of antibodies to TSH receptor and thyroid peroxidase proved to be more swollen (p < 0.001, p < 0.05, respectively). Carriage of antibodies to thyroglobulin was associated with synchronous involvement of two structures of the eye orbit: extraocular muscles and retrobulbar tissue, which is reflected by increase in the average ntegral exophthalmos index within the group.
format article
author V. G. Likhvantseva
M. S. Afanasiev
E. A. Rudenko
A. V. Karaulov
E. V. Korostelyova
author_facet V. G. Likhvantseva
M. S. Afanasiev
E. A. Rudenko
A. V. Karaulov
E. V. Korostelyova
author_sort V. G. Likhvantseva
title SEARCH FOR TARGET TISSUE IN THE EYE ORBIT FOR AUTOIMMUNE AGGRESSION OF THYROID ANTIBODIES IN ENDOCRINE OPHTHALMOPATHY
title_short SEARCH FOR TARGET TISSUE IN THE EYE ORBIT FOR AUTOIMMUNE AGGRESSION OF THYROID ANTIBODIES IN ENDOCRINE OPHTHALMOPATHY
title_full SEARCH FOR TARGET TISSUE IN THE EYE ORBIT FOR AUTOIMMUNE AGGRESSION OF THYROID ANTIBODIES IN ENDOCRINE OPHTHALMOPATHY
title_fullStr SEARCH FOR TARGET TISSUE IN THE EYE ORBIT FOR AUTOIMMUNE AGGRESSION OF THYROID ANTIBODIES IN ENDOCRINE OPHTHALMOPATHY
title_full_unstemmed SEARCH FOR TARGET TISSUE IN THE EYE ORBIT FOR AUTOIMMUNE AGGRESSION OF THYROID ANTIBODIES IN ENDOCRINE OPHTHALMOPATHY
title_sort search for target tissue in the eye orbit for autoimmune aggression of thyroid antibodies in endocrine ophthalmopathy
publisher SPb RAACI
publishDate 2017
url https://doaj.org/article/0511af3a01fc4c2c8ed8ce045e336711
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AT msafanasiev searchfortargettissueintheeyeorbitforautoimmuneaggressionofthyroidantibodiesinendocrineophthalmopathy
AT earudenko searchfortargettissueintheeyeorbitforautoimmuneaggressionofthyroidantibodiesinendocrineophthalmopathy
AT avkaraulov searchfortargettissueintheeyeorbitforautoimmuneaggressionofthyroidantibodiesinendocrineophthalmopathy
AT evkorostelyova searchfortargettissueintheeyeorbitforautoimmuneaggressionofthyroidantibodiesinendocrineophthalmopathy
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