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Br J Ophthalmol 93:1052-1056 doi:10.1136/bjo.2007.137265
  • Original Article

Euthyroid and primarily hypothyroid patients develop milder and significantly more asymmetrical Graves ophthalmopathy

Table 1

Patient and disease characteristics

Characteristic Hyperthyroid patients Euthyroid and hypothyroid patients p Values
No of patients (male/female) 143 (18/125) 39 (9/31) NS
Age (years, median (range)) 49 (21 to 79) 51 (33 to 84) NS
Non-smoker/smoker 55/88 18/21 NS
Follow-up after first symptoms of GO (months, median (range)) 36 (18 to 73) 27 (12 to 79)
Thyroid volume (ml, mean (range)) 23 (8 to 102) 14 (2 to 36) p<0.0001
TBII levels 6 months after first symptoms of GO (IU/l, median (range)) 8.6 (<1.5 to >40.0) 2.2 (<1.5 to >40) p = 0.02
Prevalence of positive TBII 6 months after first symptoms of GO (no (%) of patients) 134 (94%) 27 (69%) p<0.0001
Prevalence of negative TBII and TPO Ab 6 months after first symptoms of GO (no (%) of patients) 8 (5.6%) 10 (25%) p = 0.0008
TPO Ab levels 6 months after first symptoms of GO (U/ml, median (range)) 262 (<60 to >3000) 100 (<60 to >3000) NS
Clinical activity score before anti-inflammatory treatment 5.2 (2.34) 3.9 (2.1) p = 0.002
NOSPECS score before anti-inflammatory treatment 5.7 (3.1) 4.4 (2.4) p = 0.03
Hertel (mean (SD)) 17.4 (3.2) 17.3 (3.0) NS
Right–left difference (mean (SD)) 1.0 (1.0) 1.9 (1.8) p = 0.01
Percentage difference ⩾3 mm 4.8% 23% p = 0.004
Upgaze (monocular excursion) (median (range)) 30 (5 to 40) 35 (5 to 40) p = 0.04
Steroid therapy (no (%) patients) 124 (87%) 31 (79%) NS
Orbital irradiation (no (%) patients 98 (68%) 15 (38%) p = 0.03
  • GO, Graves ophthalmopathy; SD, standard deviation; TBII, TSH-binding inhibitory immunoglobulin; TPO Ab, thyroid peroxidase antibodies.

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