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Thyroid Autoantibodies

  • R. A. Ajjan
  • A. P. Weetman
Reference work entry
Part of the Endocrinology book series (ENDOCR)

Abstract

Thyroid autoantibodies are directed predominantly against thyroglobulin, thyroid peroxidase and the TSH receptor, although other components of the thyroid cell may also be autoantigenic targets in a small proportion of patients. In terms of pathogenesis, any role for thyroglobulin or thyroid peroxidase antibodies is confined to the secondary phase of autoimmune destruction. In contrast, stimulating antibodies against the TSH receptor cause Graves’ disease, and, in a small proportion of patients with autoimmune hypothyroidism, blocking antibodies against the TSH receptor are responsible for the thyroid dysfunction. This chapter reviews the pathogenic role of thyroid antibodies in autoimmune thyroid disorders, describes the various methods used to detect these antibodies, and describes their clinical utility in diagnosis and patient management, including the use of thyroid antibody measurement in relation to pregnancy and the postpartum period. It also reviews the effect of thyroglobulin antibodies on the measurement of serum thyroglobulin and the consequences for the management of patients with differentiated thyroid cancer.

Keywords

Thyroglobulin antibody Thyroid peroxidase antibody TSH receptor antibody Graves’ disease Autoimmune hypothyroidism Pregnancy Postpartum thyroiditis Pendrin antibody Sodium iodide symporter antibody Thyroid hormone antibody 

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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of Cardiovascular and Diabetes ResearchUniversity of Leeds, Leeds Institute for Cardiovascular and Metabolic Medicine (LICAMM)LeedsUK
  2. 2.School of Medicine and Biomedical SciencesUniversity of SheffieldSheffieldUK

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