The Evaluation and Treatment of Graves Ophthalmopathy

被引:84
作者
Stan, Marius N. [1 ]
Garrity, James A. [2 ]
Bahn, Rebecca S. [1 ]
机构
[1] Mayo Clin, Sch Med, Div Endocrinol Metab & Nutr, Rochester, MN 55905 USA
[2] Mayo Clin, Sch Med, Dept Ophthalmol, Rochester, MN 55905 USA
关键词
Graves ophthalmopathy; Graves disease; Thyrotropin receptor autoantibodies; Radioactive iodine; THYROID-ASSOCIATED OPHTHALMOPATHY; PLACEBO-CONTROLLED TRIAL; OF-LIFE QUESTIONNAIRE; DOUBLE-BLIND; ORBITAL RADIOTHERAPY; RADIOIODINE THERAPY; PULSE THERAPY; SINGLE-BLIND; RISK-FACTORS; ENDOCRINE OPHTHALMOPATHY;
D O I
10.1016/j.mcna.2012.01.014
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Optimum care of the patient with Graves ophthalmopathy (GO) is achieved through teamwork between the endocrinologist and ophthalmologist, with input from ancillary specialists as needed. Clinical evaluation should include determination of both the severity and the activity of the disease. It is important to assess early in the evaluation the impact of the disease on the patient's quality of life and their priorities and expectations regarding management. Once this information has been gathered, careful discussion between patient and physicians can define the management plan. This article reviews the pathophysiology, epidemiology, evaluation, and management of GO.
引用
收藏
页码:311 / +
页数:19
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