Abstract
Two theories have been advanced to explain the exophthalmos of Graves’ disease. The earlier theory suggested that exophthalmos was caused by the exaggerated production of a pituitary factor whereas the more recent theory implicated an autoimmune mechanism. The first theory was based on the detection of exophthalmogenic activity in anterior pituitary extracts and partially purified thyrotropin (TSH) preparations (DOBYNS, 1966). The second was based on the detection of a “long-acting thyroid stimulator” (LAIS) in the sera of exophthalmic patients more frequently than in the sera of hyperthyroid patients without this ophthalmopathy (McKENZIE, 1968). LAIS was present in the gamma globulin fraction of these sera and exhibited characteristics of an antibody (KRISS, PHESHAKOV, ROSENBLUM, 1967; SOLOMON, BEALL, 1968).
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Abbreviations
- TSH:
-
thyroid stimulating hormone or thyrotropin
- EPF:
-
the exophthalmos producing factor isolated from partial pepsin digests of purified TSH preparations
- LH:
-
luteinizing hormone
- HCG:
-
human chorionic gonadotropin
- ACTH:
-
adrenocorticotropic hormone
- LIS:
-
lithium diiodosalicylate
- MES:
-
(2-N-morpholino) ethane sulfonic acid
- Hepes:
-
N-2-hydroxyethylpiperazine-N’-2-ethane sulfonic acid
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Kohn, L.D., Winand, R.J. (1975). Characterization of the Thyrotropin Receptor and Its Involvement in Exophthalmos. In: Kaback, H.R., Neurath, H., Radda, G.K., Schwyzer, R., Wiley, W.R. (eds) Molecular Aspects of Membrane Phenomena. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-66224-9_12
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