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Hipotiroidismo Associado a Anticorpos Anti-Receptor da Hormona TSH com Ação Bloqueadora Determinada In Vitro

dc.contributor.authorMarques, P
dc.contributor.authorChikh, K
dc.contributor.authorCharrié, A
dc.contributor.authorPina, R
dc.contributor.authorBugalho, MJ
dc.contributor.authorLopes, L
dc.date.accessioned2016-03-18T10:20:52Z
dc.date.available2016-03-18T10:20:52Z
dc.date.issued2015
dc.description.abstractThyroid-stimulating hormone-receptor autoantibodies normally causes hyperthyroidism. However, they might have blocking activity causing hypothyroidism. A 11-year-old girl followed due to type 1 diabetes mellitus, celiac disease and euthyroid lymphocytic thyroiditis at diagnosis. Two years after the initial evaluation, thyroid-stimulating hormone was suppressed with normal free T4; nine months later, a biochemical evolution to hypothyroidism with thyroid-stimulating hormone-receptor autoantibodies elevation was seen; the patient remained always asymptomatic. Chinese hamster ovary cells were transfected with the recombinant human thyroid-stimulating hormone -receptor, and then exposed to the patient's serum; it was estimated a 'moderate' blocking activity of these thyroid-stimulating hormone-receptor autoantibodies, and concomitantly excluded stimulating action. In this case, the acknowledgment of the blocking activity of the serum thyroid-stimulating hormone-receptor autoantibodies, supported the hypothesis of a multifactorial aetiology of the hypothyroidism, which in the absence of the in vitro tests, we would consider only as a consequence of the destructive process associated to lymphocytic thyroiditis.pt_PT
dc.identifier.citationActa Med Port 2015 Sep-Oct;28(5):663-666pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2428
dc.language.isoporpt_PT
dc.peerreviewedyespt_PT
dc.publisherCentro Editor Livreiro da Ordem dos Médicospt_PT
dc.subjectHipotiroidismopt_PT
dc.subjectDoença de Gravespt_PT
dc.subjectReceptores da Tireotropinapt_PT
dc.subjectTireoidite Autoimunept_PT
dc.subjectCriançapt_PT
dc.subjectCaso Clínicopt_PT
dc.subjectHDE END PEDpt_PT
dc.titleHipotiroidismo Associado a Anticorpos Anti-Receptor da Hormona TSH com Ação Bloqueadora Determinada In Vitropt_PT
dc.title.alternativeHypothyroidism Associated to TSH Hormone-Receptor Autoantibodies with Blocking Activity Assessed In Vitropt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage666pt_PT
oaire.citation.issue5pt_PT
oaire.citation.startPage663pt_PT
oaire.citation.volume28pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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