RESUMO
A comparative analysis of idiopathic hypothyroidism (IHT) outcomes in different therapeutic regimens which incorporated or did not incorporate splenin and sodium nucleinate showed more frequent disease exacerbations in patients who received no immunoactive drugs. Combined therapy reduced the number of patients with decompensation 3.7-fold. Stable IHT compensation was achieved in those patients who had received adjuvant splenin in 80.8% of cases, sodium nucleinate in 86.2% against a 40.9% response rate under conventional replacement therapy with thyreoidin.
Assuntos
Adjuvantes Imunológicos/uso terapêutico , Hipotireoidismo/tratamento farmacológico , Adulto , Linfócitos B/efeitos dos fármacos , Linfócitos B/imunologia , Doença Crônica , Avaliação de Medicamentos , Quimioterapia Combinada , Feminino , Humanos , Hipotireoidismo/diagnóstico , Hipotireoidismo/imunologia , Imunoglobulinas/análise , Imunoglobulinas/efeitos dos fármacos , Masculino , Pessoa de Meia-Idade , Linfócitos T/efeitos dos fármacos , Linfócitos T/imunologiaRESUMO
Disorders in the immune status of patients with hypothyroidism (idiopathic and postoperative) produce a negative effect on a course of disease. Periods of decompensation (exacerbation) develop in such patients more frequently than in patients suffering from hypothyroidism with the normally or moderately changed immune status.
Assuntos
Hipotireoidismo/imunologia , Hipotireoidismo/terapia , Adjuvantes Imunológicos/uso terapêutico , Adulto , Linfócitos B/imunologia , Feminino , Humanos , Imunidade , Imunoglobulina G/metabolismo , Imunoglobulina M/metabolismo , Masculino , Pessoa de Meia-Idade , Ácidos Nucleicos/uso terapêutico , Linfócitos T/imunologia , Timopoietinas/uso terapêutico , Fatores de TempoRESUMO
Most patients with primary hypothyroidism showed changes in the immune status manifested in a reduction of the number and functional activity of T-lymphocytes, increased sensibilization of lymphoid cells to thyreoglobulin, content of B-lymphocytes, serum immunoglobulins of M, G classes, antithyreoglobin antibody titer and circulating immune complexes. The frequency and grade of immune disorders are directly related to the severity of the disease. The most pronounced changes were revealed in spontaneous hypothyroidism.
Assuntos
Hipotireoidismo/imunologia , Adolescente , Adulto , Idoso , Formação de Anticorpos , Feminino , Humanos , Imunidade Celular , Masculino , Pessoa de Meia-IdadeRESUMO
Comparative studies into the clinico-immunologic status of patient with primary hypothyrosis have shown that the multimodality treatment including differentiated administration of immunoactive agents (glucocorticoids, splenin) promoted more well-defined normalization of cellular, humoral immunity and nonspecific defence as well as reduction or disappearance of the clinical disease manifestations as compared to patients who did not receive those drugs as part of the multimodality therapy. The use of glucocorticoids and splenin may be recommended as part of the multimodality treatment of patients suffering from primary hypothyrosis marked by pronounced disorders in the immune system.