Graves’ Disease

V. Bakshi, Gollapalli Rajeev Kumar
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Abstract

Graves’ disease (GD) is an autoimmune thyroid disorder where autoantibodies are produced against TSH (Thyroid Stimulating Hormone) receptor causing thyrotoxicosis. It is characterized by goiter, ophthalmopathy, and occasionally pretibial myxedema. The autoimmune mechanism causing disease is not well understood and it is complex. It involves multifactorial etiology involving environmental and genetic factors. Smoking and positive family history contributing to the development of GD. GD can be diagnosed based on the clinical manifestation and demonstrating low concentration of TSHs, high TRab (Thyroid Stimulating Hormone receptor autoantibodies), and high FT4 (Free thyroxine) concentration. Current treatment options aimed at stable restoration of euthyroidism by following different modalities of suppressing thyroid gland using antithyroid drugs, removing/ablating thyroid gland by surgery, and radioactive iodine treatment with iodine- 131.
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甲状腺机能亢进
格雷夫斯病(GD)是一种自身免疫性甲状腺疾病,其中自身抗体产生对抗TSH(促甲状腺激素)受体引起甲状腺中毒。它的特点是甲状腺肿,眼病,偶尔胫前黏液水肿。引起疾病的自身免疫机制尚不清楚,而且很复杂。它涉及多因素的病因,包括环境和遗传因素。吸烟和积极的家族史有助于GD的发展。GD可根据临床表现诊断,表现为TSHs浓度低、促甲状腺激素受体自身抗体(TRab)浓度高、游离甲状腺素(FT4)浓度高。目前的治疗方案旨在通过使用抗甲状腺药物抑制甲状腺、手术切除/消融甲状腺和碘- 131放射性碘治疗等不同方式稳定恢复甲状腺功能亢进。
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Graves’ Disease Graves Disease in Childhood Graves’ Disease
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