Source:http://linkedlifedata.com/resource/pubmed/id/19851036
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2010-1-29
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pubmed:abstractText |
Propylthiouracil (PTU) is known to induce myeloperoxidase antineutrophil cytoplasmic antibodies (MPO-ANCA) in patients with Graves disease (GD). Previously, we showed that serum MPO-ANCA were frequently seen in patients with GD treated with PTU. In this study, we analyzed 13 patients with positive MPO-ANCA examining a long-term clinical consequence of these patients as well as antibody titers during 5.6 +/- 3.0 years. PTU therapy was continued in 8 patients and discontinued in 5 patients. Antibody titers decreased in 7 of 8 patients who discontinued PTU therapy but remained positive in 5 patients 5 years after PTU withdrawal. The initial MPO-ANCA levels were significantly higher in those antibody titers remained positive for longer than 5 years (n=5) than in those titers turned to be negative within 5 years after PTU withdrawal (n=3) (203 +/- 256 EU and 22 +/- 2 EU, respectively, P=0.04), but there were no significant differences in age, gender, duration of PTU therapy or dosage of PTU. Among 5 patients who continued PTU therapy, 2 patients with initially low MPO-ANCA titers turned to having negative antibody. No patients had new symptoms or signs of vasculitis throughout the follow-up periods. The long-term follow-up study suggests that higher MPO-ANCA levels remain positive for years after PTU withdrawal but are rarely associated with vasculitis.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
1348-4540
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
57
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
73-9
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pubmed:meshHeading |
pubmed-meshheading:19851036-Adult,
pubmed-meshheading:19851036-Aged,
pubmed-meshheading:19851036-Antibodies, Antineutrophil Cytoplasmic,
pubmed-meshheading:19851036-Antithyroid Agents,
pubmed-meshheading:19851036-Female,
pubmed-meshheading:19851036-Follow-Up Studies,
pubmed-meshheading:19851036-Graves Disease,
pubmed-meshheading:19851036-Humans,
pubmed-meshheading:19851036-Male,
pubmed-meshheading:19851036-Middle Aged,
pubmed-meshheading:19851036-Peroxidase,
pubmed-meshheading:19851036-Propylthiouracil,
pubmed-meshheading:19851036-Statistics, Nonparametric
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pubmed:year |
2010
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pubmed:articleTitle |
A long-term follow-up of serum myeloperoxidase antineutrophil cytoplasmic antibodies (MPO-ANCA) in patients with Graves disease treated with propylthiouracil.
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pubmed:affiliation |
Department of Endocrinology and Metabolism, Unit of Translational Medicine, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan.
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pubmed:publicationType |
Journal Article
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