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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2-3
pubmed:dateCreated
1994-2-1
pubmed:abstractText
The occurrence of multiple endocrine autoimmunity with organ-specific autoantibodies is well known. In this study we evaluated the presence of competitive insulin autoantibodies (IAA) in immune and non-immune diseases of the thyroid, utilizing a sensitive and specific radiobinding assay. We studied 37 patients with Graves' disease, 44 patients with Hashimoto's thyroiditis, 11 patients with non-immune thyroid diseases and 30 normal controls. In 5/37 (13.5%), 7/44 (15.9%) patients with Graves' and Hashimoto's diseases, respectively, but in none of those with non-immune thyroid disease or of the controls, IAA levels exceeded our upper limit of normal range (50 nunits/ml) (P < 0.01). Positive IAA levels ranged between 50 and 123 nunits/ml with fluctuation of these levels over time. Islet cell antibodies were not detected in any of the patients and the controls in the study. No association was found between propylthiouracile treatment and level of IAA. In none of 10 IAA-positive patients was the early phase insulin secretion of the intravenous glucose tolerance test below 46 mu units/ml, and in 2 subjects repeated tests after 3 years showed conserved insulin secretion. In conclusion, our findings show that 15% of patients with autoimmune thyroid diseases, produce specific IAA which do not seem to reflect aggressive beta cell destruction.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0168-8227
pubmed:author
pubmed:issnType
Print
pubmed:volume
21
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
161-6
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:8269817-Adolescent, pubmed-meshheading:8269817-Adult, pubmed-meshheading:8269817-Age Factors, pubmed-meshheading:8269817-Analysis of Variance, pubmed-meshheading:8269817-Autoantibodies, pubmed-meshheading:8269817-Binding, Competitive, pubmed-meshheading:8269817-Blood Glucose, pubmed-meshheading:8269817-Child, pubmed-meshheading:8269817-Female, pubmed-meshheading:8269817-Glucose Tolerance Test, pubmed-meshheading:8269817-Graves Disease, pubmed-meshheading:8269817-Humans, pubmed-meshheading:8269817-Insulin, pubmed-meshheading:8269817-Insulin Antibodies, pubmed-meshheading:8269817-Islets of Langerhans, pubmed-meshheading:8269817-Male, pubmed-meshheading:8269817-Middle Aged, pubmed-meshheading:8269817-Propylthiouracil, pubmed-meshheading:8269817-Thyroid Diseases, pubmed-meshheading:8269817-Thyroiditis, Autoimmune
pubmed:articleTitle
Low titer, competitive insulin autoantibodies are spontaneously produced in autoimmune diseases of the thyroid.
pubmed:affiliation
Juvenile Diabetes Unit, Rambam Medical Center, Faculty of Medicine, Haifa, Israel.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, Non-U.S. Gov't