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Karger Publishers, Medical Principles and Practice, 4(12), p. 266-268, 2003

DOI: 10.1159/000072296

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Early Changes in Thyroid-Stimulating Antibody Activity following Radioiodine Therapy

Journal article published in 2003 by Akheel A. Syed, Carol Evans, Marian Ludgate ORCID, John H. Lazarus
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

<i>Objective:</i> The aim of this study was to determine whether or not the titre of thyroid-stimulating hormone receptor antibody with stimulating (TRAb-S) activity changes in patients with Graves’ disease (GD) or toxic multinodular goitres (TMNG) 3 months after treatment with sodium iodide (<sup>131</sup>I). <i>Subjects and Methods:</i> Serum specimens were obtained from 21 hyperthyroid patients (15 with GD and 6 with TMNG) at a median 0.5 months before and 3 months after <sup>131</sup>I treatment using a standard ablative dose of 555 MBq. TRAb-S activity was measured in a sensitive and specific luminescent bioassay employing the lulu cell line and expressed as a stimulation index (SI; normal ≤1.5). <i>Results:</i> The mean TRAb-S in the GD patients was 2.72 SI (95% CI: 1.51–4.03) 0.5 months before administration of <sup>131</sup>I and 3.98 SI (95% CI: 1.20–6.76) 3 months after administration of <sup>131</sup>I. The difference was not statistically significant at p<i> <</i> 0.8. It was not elevated in the TMNG patients before (0.57 SI; 95% CI: 0.41– 0.73) and after (1.00 SI; 95% CI: 0.74–1.26) treatment either. <i>Conclusions:</i> Radioiodine therapy for GD or TMNG did not induce a significant change in TRAb-S activity at 3 months after treatment with <sup>131</sup>I, probably due to effective antithyroid therapy or the timing of samples.