Thyroid eye disease in Asians and recent advances in management

Copyright © 2020 by the Chinese Medical Association. This paper aims to review the current understanding and advances in knowledge of thyroid eye disease(TED)with a focus on Asian population. TED can significantly impact quality of life, and has devastating consequences, including facial disfigureme...

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Bibliographic Details
Main Authors: Pimkwan Jaru-Ampornpan, Yu Cheng, Qin Jiao, Raymond S. Douglas
Other Authors: Ruijin Hospital
Format: Review
Published: 2020
Subjects:
Online Access:https://repository.li.mahidol.ac.th/handle/123456789/59211
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Institution: Mahidol University
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Summary:Copyright © 2020 by the Chinese Medical Association. This paper aims to review the current understanding and advances in knowledge of thyroid eye disease(TED)with a focus on Asian population. TED can significantly impact quality of life, and has devastating consequences, including facial disfigurement and vision loss. Recent findings revealed a novel targeted therapy against TED, including teprotumumab, a human monoclonal antibody that inhibits the insulin-like growth factor-1 receptor. Teprotumumab was found to reverse the disease process in patients with active, moderate-to-severe TED. A randomized clinical trial of this drug compared to placebo showed significant improvement in clinical activity score, proptosis, subjective diplopia, and quality of life at 4 months follow-up in the treatment group. In this paper, we review the current epidemiology, pathophysiology, and advances in management of TED.