DEVELOPMENT OF THYROID-DISEASE DURING THERAPY OF CHRONIC VIRAL-HEPATITIS WITH INTERFERON ALFA

被引:224
作者
LISKERMELMAN, M
DIBISCEGLIE, AM
USALA, SJ
WEINTRAUB, B
MURRAY, LM
HOOFNAGLE, JH
机构
[1] NIDDKD,DIGEST DIS BRANCH,LIVER DIS SECT,BLDG 10,ROOM 4D 52,BETHESDA,MD 20892
[2] NIDDKD,MOLEC CELLULAR & NUTR ENDOCRINOL,BETHESDA,MD 20892
关键词
D O I
10.1016/0016-5085(92)90348-3
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Six of 237 (2.5%) patients with chronic viral hepatitis who were treated with recombinant interferon alfa developed thyroid disease while on treatment. Three patients developed hyperthyroidism, two of whom developed detectable levels of thyroid-stimulating immunoglobulin; three patients developed hypothyroidism in association with high titers of antithyroglobulin and/or antimicrosomal antibodies. The thyroid disease did not remit when interferon therapy was stopped, and all six patients required definitive therapy for the thyroid disease. These findings suggest that a small proportion of patients treated with interferon alfa develop autoimmune reactions and can develop autoimmune thyroid disease. © 1992.
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页码:2155 / 2160
页数:6
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