RESUMO
The immune status and the time course of ophthalmological indices were studied in 54 patients with endocrine ophthalmopathy during bromocriptine therapy. Twelve weeks after the onset of therapy indices of the immune status returned to normal in parallel with the regression of ophthalmological symptoms. In the control group (20 patients with endocrine ophthalmopathy who did not receive bromocriptine) significant improvement of the clinicoimmunological status was unnoticed. An increase in the number of T-lymphocytes, a decrease in the number of B-lymphocytes, an increase in the level of IgG, and a decrease in the levels of IgA and IgM were observed during bromocriptine therapy. The time of the immunity indices could serve as a criterion of bromocriptine therapeutic efficacy in patients with endocrine ophthalmopathy.
Assuntos
Bromocriptina/uso terapêutico , Oftalmopatias/imunologia , Doenças da Glândula Tireoide/imunologia , Adulto , Idoso , Formação de Anticorpos/efeitos dos fármacos , Linfócitos B/imunologia , Doença Crônica , Terapia Combinada , Avaliação de Medicamentos , Oftalmopatias/tratamento farmacológico , Oftalmopatias/etiologia , Feminino , Humanos , Imunidade Celular/efeitos dos fármacos , Imunoglobulinas/imunologia , Masculino , Pessoa de Meia-Idade , Linfócitos T/imunologia , Doenças da Glândula Tireoide/complicações , Doenças da Glândula Tireoide/tratamento farmacológicoRESUMO
The authors reported the results of parlodel therapy of 18 patients with diffuse toxic goiter complicated by endocrine ophthalmopathy. The patients ranged in age from 24 to 59 with a period of disease from 3 months to 10 years and more. The drug was given for 6 weeks at a dose of 2.5 mg twice a day after meals, a course dose varied from 150 to 225 mg. A radioimmunoassay was used to determine T3, T4 and TTH, the patients underwent a thorough ophthalmological examination. Six weeks after parlodel therapy was initiated, a decrease in the TTH level up to normal values was observed in parallel with the regression of clinical signs of endocrine ophthalmopathy. The use of parlodel did not change considerably the level of the thyroid hormones T3 and T4.