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Autoimmune thyroid diseases: In vivo diagnostics

Autoimunske bolesti štitaste žlezde - in vivo dijagnostika

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2004
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Authors
Živančević-Simonović, Snežana
Đukić, Aleksandar
Matović, Milovan D.
Dimitrijević, Ljiljana
Article (Published version)
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Abstract
Autoimmune thyroid disease, Graves disease and Hashimoto thyroiditis, cause changing in morphology and function of the thyroid tissue. Graves disease is characterized by an increased synthesis and release of thyroid hormones (hyperthyrosis). Hashimoto fhyroiditis is characterized by the destruction and regeneration of thyroid follicles, which are clinically expressed by symptoms of hypothyrosis. Less frequently, Hashimoto fhyroiditis is expressed by transient thyrotoxicosis (if the destruction of the thyroid gland tissue is extremely emphasized). In order to examine thyroid morphology and function, there are numerous in iga diagnostic methods. Ultrasono graphy enables the examination of the fine structure and vasculanzation of the thyroid gland, and nuclear medicine methods reflect the function of the thyroid tissue. Radioactive iodine uptake is useful in assessment of the ability of thyrocytes to uptake iodide, and scmtigraphy gives the morpho-functional picture of the thyroid gland. ...Scintigraphy of orbital tissue gives the insight of orbital accumulation of the activated leucocytes. Although modem imaging methods (positron emission tomography, computed tomography and magnetic resonance imaging) are very useful in assessment of nodular changes in the thyroid gland and retrostemal goiter, these techniques are not widely applied in diagnostic procedures of autoimmune thyroid diseases. In this study we reviewed in vivo diagnostic methods used in the examination of Graves disease and Hashimoto thyroiditis, we considered their significance in the investigation of pathological process in the thyroid gland and we noticed the factors which could influence the results of morphological and functional investigations of the thyroid gland.

Autoimunske bolesti štitaste žlezde, Gravesova bolest i Hashimoto tireoiditis, prouzrokuju promenu strukture i funkcije tireoidnog tkiva. Gravesovu bolest karakteriše povećana sinteza i oslobađanje tireoidnih hormona (hipemreoza), a Hashimoto tireoiditis destrukcija i regeneracija tireoidnih folikula, koje se klinički ispoljavaju simptomima hipotireoze, a ako je destrukcija tkiva štitaste žlezde veoma izražena, privremeno mogu da se jave i simptomi tireotoksikoze. Da bi se ispitala struktura i funkcija tireoidnog tkiva primenjuju se brojne in vivo dijagnostičke metode. Ultrasonografija daje uvid u finu strukturu i vaskularizaciju štitaste žlezde, a metode nuklearne medicine odslikavaju funkciju tireoidnog tkiva. Testom fiksacije radioaktivnog joda procenjuje se sposobnost tireocita da preuzmu jodid, a scintigrafijom se dobija morfofunkcijska slika štitaste žlezde. Scintigrafijom orbite kod obolelih od Gravesove bolesti ispituje se stepen infiltracije orbitalnog tkiva aktivisanim leukoc...itima. Iako su savremene imaging metode (pozitronska emisiona tomografija, kompjuterizovana tomografija i magnetna rezonanca) veoma korisne u ispitivanju nodoznih promena u štitastoj žlezdi i substemame strume, te metode nisu značajnije zastupljene u dijagnostici autoimunskih tireoidnih bolesti. U ovom radu su prikazane in vivo dijagnostičke metode koje se koriste u dijagnostici Gravesove bolesti i Hashimoto tireoiditisa, njihov značaj u ispitivanju patološkog procesa u štitastoj žlezdi i faktori koji svojim dejstvom mogu da utiču na rezultate ispitivanja.

Keywords:
Graves disease / Hashimoto thyroiditis / ultrasonography / scintigraphy / radioactive iodine uptake / diagnostics / Gravesova bolest / Hashimoto tireoiditis / ultrasonografija / scintigrafija / test fiksacije radioaktivnog joda / dijagnostika
Source:
Medicus, 2004, 5, 1, 27-33
Publisher:
  • Univerzitet u Kragujevcu - Fakultet medicinskih nauka, Kragujevac

ISSN: 1450-7994

[ Google Scholar ]
Handle
https://hdl.handle.net/21.15107/rcub_intor_185
URI
http://intor.torlakinstitut.com/handle/123456789/185
Collections
  • Radovi istraživača / Researchers’ publications
Institution/Community
Torlak
TY  - JOUR
AU  - Živančević-Simonović, Snežana
AU  - Đukić, Aleksandar
AU  - Matović, Milovan D.
AU  - Dimitrijević, Ljiljana
PY  - 2004
UR  - http://intor.torlakinstitut.com/handle/123456789/185
AB  - Autoimmune thyroid disease, Graves disease and Hashimoto thyroiditis, cause changing in morphology and function of the thyroid tissue. Graves disease is characterized by an increased synthesis and release of thyroid hormones (hyperthyrosis). Hashimoto fhyroiditis is characterized by the destruction and regeneration of thyroid follicles, which are clinically expressed by symptoms of hypothyrosis. Less frequently, Hashimoto fhyroiditis is expressed by transient thyrotoxicosis (if the destruction of the thyroid gland tissue is extremely emphasized). In order to examine thyroid morphology and function, there are numerous in iga diagnostic methods. Ultrasono graphy enables the examination of the fine structure and vasculanzation of the thyroid gland, and nuclear medicine methods reflect the function of the thyroid tissue. Radioactive iodine uptake is useful in assessment of the ability of thyrocytes to uptake iodide, and scmtigraphy gives the morpho-functional picture of the thyroid gland. Scintigraphy of orbital tissue gives the insight of orbital accumulation of the activated leucocytes. Although modem imaging methods (positron emission tomography, computed tomography and magnetic resonance imaging) are very useful in assessment of nodular changes in the thyroid gland and retrostemal goiter, these techniques are not widely applied in diagnostic procedures of autoimmune thyroid diseases. In this study we reviewed in vivo diagnostic methods used in the examination of Graves disease and Hashimoto thyroiditis, we considered their significance in the investigation of pathological process in the thyroid gland and we noticed the factors which could influence the results of morphological and functional investigations of the thyroid gland.
AB  - Autoimunske bolesti štitaste žlezde, Gravesova bolest i Hashimoto tireoiditis, prouzrokuju promenu strukture i funkcije tireoidnog tkiva. Gravesovu bolest karakteriše povećana sinteza i oslobađanje tireoidnih hormona (hipemreoza), a Hashimoto tireoiditis destrukcija i regeneracija tireoidnih folikula, koje se klinički ispoljavaju simptomima hipotireoze, a ako je destrukcija tkiva štitaste žlezde veoma izražena, privremeno mogu da se jave i simptomi tireotoksikoze. Da bi se ispitala struktura i funkcija tireoidnog tkiva primenjuju se brojne in vivo dijagnostičke metode. Ultrasonografija daje uvid u finu strukturu i vaskularizaciju štitaste žlezde, a metode nuklearne medicine odslikavaju funkciju tireoidnog tkiva. Testom fiksacije radioaktivnog joda procenjuje se sposobnost tireocita da preuzmu jodid, a scintigrafijom se dobija morfofunkcijska slika štitaste žlezde. Scintigrafijom orbite kod obolelih od Gravesove bolesti ispituje se stepen infiltracije orbitalnog tkiva aktivisanim leukocitima. Iako su savremene imaging metode (pozitronska emisiona tomografija, kompjuterizovana tomografija i magnetna rezonanca) veoma korisne u ispitivanju nodoznih promena u štitastoj žlezdi i substemame strume, te metode nisu značajnije zastupljene u dijagnostici autoimunskih tireoidnih bolesti. U ovom radu su prikazane in vivo dijagnostičke metode koje se koriste u dijagnostici Gravesove bolesti i Hashimoto tireoiditisa, njihov značaj u ispitivanju patološkog procesa u štitastoj žlezdi i faktori koji svojim dejstvom mogu da utiču na rezultate ispitivanja.
PB  - Univerzitet u Kragujevcu - Fakultet medicinskih nauka, Kragujevac
T2  - Medicus
T1  - Autoimmune thyroid diseases: In vivo diagnostics
T1  - Autoimunske bolesti štitaste žlezde - in vivo dijagnostika
EP  - 33
IS  - 1
SP  - 27
VL  - 5
UR  - https://hdl.handle.net/21.15107/rcub_intor_185
ER  - 
@article{
author = "Živančević-Simonović, Snežana and Đukić, Aleksandar and Matović, Milovan D. and Dimitrijević, Ljiljana",
year = "2004",
abstract = "Autoimmune thyroid disease, Graves disease and Hashimoto thyroiditis, cause changing in morphology and function of the thyroid tissue. Graves disease is characterized by an increased synthesis and release of thyroid hormones (hyperthyrosis). Hashimoto fhyroiditis is characterized by the destruction and regeneration of thyroid follicles, which are clinically expressed by symptoms of hypothyrosis. Less frequently, Hashimoto fhyroiditis is expressed by transient thyrotoxicosis (if the destruction of the thyroid gland tissue is extremely emphasized). In order to examine thyroid morphology and function, there are numerous in iga diagnostic methods. Ultrasono graphy enables the examination of the fine structure and vasculanzation of the thyroid gland, and nuclear medicine methods reflect the function of the thyroid tissue. Radioactive iodine uptake is useful in assessment of the ability of thyrocytes to uptake iodide, and scmtigraphy gives the morpho-functional picture of the thyroid gland. Scintigraphy of orbital tissue gives the insight of orbital accumulation of the activated leucocytes. Although modem imaging methods (positron emission tomography, computed tomography and magnetic resonance imaging) are very useful in assessment of nodular changes in the thyroid gland and retrostemal goiter, these techniques are not widely applied in diagnostic procedures of autoimmune thyroid diseases. In this study we reviewed in vivo diagnostic methods used in the examination of Graves disease and Hashimoto thyroiditis, we considered their significance in the investigation of pathological process in the thyroid gland and we noticed the factors which could influence the results of morphological and functional investigations of the thyroid gland., Autoimunske bolesti štitaste žlezde, Gravesova bolest i Hashimoto tireoiditis, prouzrokuju promenu strukture i funkcije tireoidnog tkiva. Gravesovu bolest karakteriše povećana sinteza i oslobađanje tireoidnih hormona (hipemreoza), a Hashimoto tireoiditis destrukcija i regeneracija tireoidnih folikula, koje se klinički ispoljavaju simptomima hipotireoze, a ako je destrukcija tkiva štitaste žlezde veoma izražena, privremeno mogu da se jave i simptomi tireotoksikoze. Da bi se ispitala struktura i funkcija tireoidnog tkiva primenjuju se brojne in vivo dijagnostičke metode. Ultrasonografija daje uvid u finu strukturu i vaskularizaciju štitaste žlezde, a metode nuklearne medicine odslikavaju funkciju tireoidnog tkiva. Testom fiksacije radioaktivnog joda procenjuje se sposobnost tireocita da preuzmu jodid, a scintigrafijom se dobija morfofunkcijska slika štitaste žlezde. Scintigrafijom orbite kod obolelih od Gravesove bolesti ispituje se stepen infiltracije orbitalnog tkiva aktivisanim leukocitima. Iako su savremene imaging metode (pozitronska emisiona tomografija, kompjuterizovana tomografija i magnetna rezonanca) veoma korisne u ispitivanju nodoznih promena u štitastoj žlezdi i substemame strume, te metode nisu značajnije zastupljene u dijagnostici autoimunskih tireoidnih bolesti. U ovom radu su prikazane in vivo dijagnostičke metode koje se koriste u dijagnostici Gravesove bolesti i Hashimoto tireoiditisa, njihov značaj u ispitivanju patološkog procesa u štitastoj žlezdi i faktori koji svojim dejstvom mogu da utiču na rezultate ispitivanja.",
publisher = "Univerzitet u Kragujevcu - Fakultet medicinskih nauka, Kragujevac",
journal = "Medicus",
title = "Autoimmune thyroid diseases: In vivo diagnostics, Autoimunske bolesti štitaste žlezde - in vivo dijagnostika",
pages = "33-27",
number = "1",
volume = "5",
url = "https://hdl.handle.net/21.15107/rcub_intor_185"
}
Živančević-Simonović, S., Đukić, A., Matović, M. D.,& Dimitrijević, L.. (2004). Autoimmune thyroid diseases: In vivo diagnostics. in Medicus
Univerzitet u Kragujevcu - Fakultet medicinskih nauka, Kragujevac., 5(1), 27-33.
https://hdl.handle.net/21.15107/rcub_intor_185
Živančević-Simonović S, Đukić A, Matović MD, Dimitrijević L. Autoimmune thyroid diseases: In vivo diagnostics. in Medicus. 2004;5(1):27-33.
https://hdl.handle.net/21.15107/rcub_intor_185 .
Živančević-Simonović, Snežana, Đukić, Aleksandar, Matović, Milovan D., Dimitrijević, Ljiljana, "Autoimmune thyroid diseases: In vivo diagnostics" in Medicus, 5, no. 1 (2004):27-33,
https://hdl.handle.net/21.15107/rcub_intor_185 .

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