Fluctuations in the Titers of Anti-Thyroid Hormone and Anti-Thyroglobulin Antibodies in 4 Cases of Graves' Disease during Long-Term Treatment Period
抗甲状腺ホルモン抗体陽性Graves病4例における長期治療経過中の抗サイログロブリン抗体価と抗甲状腺ホルモン抗体価の推移

Takashi KOMAKI, Shigeki SAKATA, Shigenori NAKAMURA, Masafumi MATSUDA, Noriko KOJIMA, Hiroshi TAKUNO, Kiyoshi MIURA
1989 Folia Endocrinologica Japonica  
We studied 4 cases of Graves' disease with anti-thyroid hormone antibodies. Changes in the serum levels of triiodothyronine(T3), thyroxine(T4), free T4, thyrotropin(TSH), and thyroglobulin(Tg), as well as titers of anti-Tg antibodies, anti-thyroid hormone antibodies, anti-TSH receptor antibodies(TRAb) and anti-microsomal antibodies(MCHA) during 2-10 years' treatment periods were examined in each case. Case 1; A woman, who was diagnosed as having Graves' disease when she was 10 years old, had
more » ... n treated with methimazole(MMI) or propylthiouracil(PTU). Treatment with the antithyroid drug had been discontinued by herself when she was 19 years old until she was 24 years old, when she was pregnant and consulted our hospital. Since her serum levels of T3 were unusually high, examination of her serum for the presence of anti-T3 antibodies was done. The presence of anti-T3 antibodies in her serum was confirmed. Case 2; A woman, who was diagnosed as having Graves' disease at the age of 41, had been treated with MMI or PTU. Presence of serum anti-T3 antibodies was found in a screening test for the antibodies. Serial sera were obtained during the 5 year observation period when she was treated with MMI, PTU, and subtotal thyroidectomy. Titers of anti-Tg antibodies in her sera were in the normal range. Case 3; A woman, who was diagnosed as having Graves' disease at the age of 11, had 第65巻 第7号
doi:10.1507/endocrine1927.65.7_627 pmid:2583311 fatcat:gbemabptszhjjh2qpk7gnxjvya