Autoimmune Thyroiditis, Graves Disease, Graves Ophthalmopathy
Conditions
Brief summary
The study is aimed at assessing IGF-1R-Abs in patients with Graves' disease, with or without GO, compared with healthy subjects and patients with autoimmune thyroiditis in a cross-sectional investigation.
Interventions
Measurement of antibodies against the IGF-1R in serum samples by ELISA
Sponsors
Study design
Eligibility
Inclusion criteria
1. for Graves' disease: a history of hyperthyroidism, associated with previous or present detectable serum autoantibodies against the TSH-R; 2. for autoimmune thyroiditis: the presence of at least two of the following: a) primary hypothyroidism; b) detectable serum autoantibodies against thyroglobulin or thyroperoxidase ; c) a hypoechoic pattern of the thyroid by ultrasound examination. 3. for healthy subjects: absence of any clinical, biochemical or instrumental evidence of thyroid diseases. For all subjects: Informed consent
Exclusion criteria
1\) lack of informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Frequency of serum IGF-1R-Abs above the upper normal levels | Baseline | Percent prevalence of serum IGF-1R-Abs above the upper normal levels in patients with GO, compared with healthy subjects, patients with Graves' disease without a clinically relevant GO, and patients with autoimmune thyroiditis. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Serum concentrations of IGF-1R-Abs | Baseline | Comparison of the serum concentrations of IGF-1R-Abs in patients with GO, compared with healthy subjects, patients with Graves' disease without GO, and patients with autoimmune thyroiditis; |
| Relationship between serum IGF-1R-Abs and the activity of GO | Baseline | Relationship between serum IGF-1R-Abs (both levels and prevalence), with the the activity GO, namely the clinical activity score, including 7 items (spontaneous orbital pain, gaze provoked pain, palpebral redness, palpebral oedema, conjuctival redness, caruncle edema, chemosis) resulting in a score from 1 to 7 |
| Relationship between serum IGF-1R-Abs and anti-TSH receptor autoantibodies | Baseline | The relationship between serum IGF-1R-Abs (both levels and prevalence) and anti-thyrotropic hormone-receptor serum autoantibodies |
| Relationship between serum IGF-1R-Abs and anti-thyroperoxidase autoantibodies | Baseline | The relationship between serum IGF-1R-Abs (both levels and prevalence) and anti-thyroperoxidase serum autoantibodies |
| Relationship between serum IGF-1R-Abs and anti-thyroglobulin autoantibodies | Baseline | The relationship between serum IGF-1R-Abs (both levels and prevalence) and anti-thyroglobulin serum autoantibodies |
Countries
Italy