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one more paper about TSI

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Because ATD and RAI are around for many years, studies are done many

years ago.

Clin Endocrinol (Oxf). 1980 Nov;13(5):417-24. Related Articles,

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Influence of treatment with radioiodine and propylthiouracil on

thyroid stimulating immunoglobulins in Graves' disease.

Bech K, Nistrup Madsen S.

Thyroid stimulating immunoglobulins (TSAb) were measured in fifty-

four patients with Graves' disease before treatment with either

radioiodine (seventeen patients) or propylthiouracil (PTU) (thirty-

seven patients), and followed during treatment. After radioiodine

TSAb increased to levels exceeding pretreatment values, and became

detectable in three of six originally TSAb negative patients. In

most patients TSAb decreased during treatment with PTU, and became

undetectable after a mean of 12 months in patients above 40 years,

and after a mean of 6 months in patients below 40 years. In order to

eliminate the presumed causative agent in Graves' disease,

antithyroid treatment should be at least 18 months in patients above

40 years, and at least 12 months in patients below 40 years of age.

In twenty-nine patients TSAb were measured at cessation of 2 years

antithyroid drug therapy. Ten patients were TSAb positive and all

except one relapsed. Five of nineteen TSAb negative patients

relapsed. Although TSAb positivity predict relapse, it is not an

ideal index of prognosis after antithyroid therapy.

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