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Published in: BMC Ophthalmology 1/2007

Open Access 01-12-2007 | Case report

Thiazolidinedione induced thyroid associated orbitopathy

Authors: Seongmu Lee, Angelo Tsirbas, Robert A Goldberg, John D McCann

Published in: BMC Ophthalmology | Issue 1/2007

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Abstract

Background

To describe an episode of thyroid associated orbitopathy (TAO) following the initiation of thiazolidinedione (TZD).

Case presentation

We report a female patient with a history of Graves' disease and stabilised thyroid associated orbitopathy for 2.5 years, who experienced rapid progression of TAO after the initiation of thiazolidinedione for glycemic control. Following the discontinuation of TZD, the patient experienced subsequent stabilisation of disease and normalization of vision. The medical history, ophthalmic findings, and clinical course are discussed.

Conclusion

Thiazolidinediones may exacerbate TAO, and this should be taken into consideration when selecting treatment for diabetic patients with a history of autoimmune thyroid disorders.
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Literature
1.
go back to reference Yki-Järvinen H: Drug Therapy: Thiazolidinediones. N Engl J Med. 351 (11): 1106-18. 10.1056/NEJMra041001. 2004 Sep 9; Yki-Järvinen H: Drug Therapy: Thiazolidinediones. N Engl J Med. 351 (11): 1106-18. 10.1056/NEJMra041001. 2004 Sep 9;
2.
go back to reference Bartley GB: The epidemiologic characteristics and clinical course of ophthalmopathy associated with autoimmune thyroid disease in Olmsted County, Minnesota. Trans Am Ophthalmol Soc. 1994, 92: 477-588.PubMedPubMedCentral Bartley GB: The epidemiologic characteristics and clinical course of ophthalmopathy associated with autoimmune thyroid disease in Olmsted County, Minnesota. Trans Am Ophthalmol Soc. 1994, 92: 477-588.PubMedPubMedCentral
3.
go back to reference Bartalena L, Marcocci C, Bogazzi F, Hegedus L: Relation between therapy for hyperthyroidism and the course of Graves' ophthalmopathy. N Engl J Med. 338 (2): 73-8. 10.1056/NEJM199801083380201. 1998 Jan 8; Bartalena L, Marcocci C, Bogazzi F, Hegedus L: Relation between therapy for hyperthyroidism and the course of Graves' ophthalmopathy. N Engl J Med. 338 (2): 73-8. 10.1056/NEJM199801083380201. 1998 Jan 8;
4.
go back to reference Tallstedt L, Lundell G, Torring O, Wallin G, Ljunggren JG, Blomgren H, Taube A: Occurrence of ophthalmopathy after treatment for Graves' hyperthyroidism. The Thyroid Study Group. N Engl J Med. 326 (26): 1733-8. 1992 Jun 25; Tallstedt L, Lundell G, Torring O, Wallin G, Ljunggren JG, Blomgren H, Taube A: Occurrence of ophthalmopathy after treatment for Graves' hyperthyroidism. The Thyroid Study Group. N Engl J Med. 326 (26): 1733-8. 1992 Jun 25;
5.
go back to reference Cawood TJ, Moriarty P, O'Farrelly C, O'Shea D: Smoking and thyroid associated ophthalmopathy; a novel explanation of the biological link. J Clin Endocrinol Metab. 2006 Oct 17;, Cawood TJ, Moriarty P, O'Farrelly C, O'Shea D: Smoking and thyroid associated ophthalmopathy; a novel explanation of the biological link. J Clin Endocrinol Metab. 2006 Oct 17;,
6.
go back to reference Kumar S, Coenen MJ, Scherer PE, Bahn RS: Evidence for enhanced adipogenesis in the orbits of patients with Graves' ophthalmopathy. J Clin Endocrinol Metab. 2004, 89 (2): 930-5. 10.1210/jc.2003-031427.CrossRefPubMedPubMedCentral Kumar S, Coenen MJ, Scherer PE, Bahn RS: Evidence for enhanced adipogenesis in the orbits of patients with Graves' ophthalmopathy. J Clin Endocrinol Metab. 2004, 89 (2): 930-5. 10.1210/jc.2003-031427.CrossRefPubMedPubMedCentral
7.
go back to reference Valyasevi RW, Harteneck DA, Dutton CM, Bahn RS: Stimulation of adipogenesis, peroxisome proliferator-activated receptor-gamma (PPARgamma), and thyrotropin receptor by PPARgamma agonist in human orbital preadipocyte fibroblasts. J Clin Endocrinol Metab. 2002, 87 (5): 2352-8. 10.1210/jc.87.5.2352.PubMed Valyasevi RW, Harteneck DA, Dutton CM, Bahn RS: Stimulation of adipogenesis, peroxisome proliferator-activated receptor-gamma (PPARgamma), and thyrotropin receptor by PPARgamma agonist in human orbital preadipocyte fibroblasts. J Clin Endocrinol Metab. 2002, 87 (5): 2352-8. 10.1210/jc.87.5.2352.PubMed
8.
go back to reference Pasquali D, Pierantoni GM, Fusco A, Staibano S, Colantuoni V, DeBellis A, Bellastella A, Sinisi AA: Fenofibrate increases the expression of high mobility group AT-hook 2 (HMGA2) gene and induces adipocyte differentiation of orbital fibroblasts from Graves' ophthalmopathy. J Mol Endocrinol. 2004, 33 (1): 133-43. 10.1677/jme.0.0330133.CrossRefPubMed Pasquali D, Pierantoni GM, Fusco A, Staibano S, Colantuoni V, DeBellis A, Bellastella A, Sinisi AA: Fenofibrate increases the expression of high mobility group AT-hook 2 (HMGA2) gene and induces adipocyte differentiation of orbital fibroblasts from Graves' ophthalmopathy. J Mol Endocrinol. 2004, 33 (1): 133-43. 10.1677/jme.0.0330133.CrossRefPubMed
9.
go back to reference Pistrosch F, Herbrig K, Oelschlaegel U, Richter S, Passauer J, Fischer S, Gross P: PPARgamma-agonist rosiglitazone increases number and migratory activity of cultured endothelial progenitor cells. Atherosclerosis. 2005, 183 (1): 163-7. 10.1016/j.atherosclerosis.2005.03.039.CrossRefPubMed Pistrosch F, Herbrig K, Oelschlaegel U, Richter S, Passauer J, Fischer S, Gross P: PPARgamma-agonist rosiglitazone increases number and migratory activity of cultured endothelial progenitor cells. Atherosclerosis. 2005, 183 (1): 163-7. 10.1016/j.atherosclerosis.2005.03.039.CrossRefPubMed
10.
go back to reference Mimura LY, Villares SM, Monteiro ML, Guazzelli IC, Bloise W: Peroxisome proliferator-activated receptor-gamma gene expression in orbital adipose/connective tissues is increased during the active stage of Graves' ophthalmopathy. Thyroid. 2003, 13 (9): 845-50. 10.1089/105072503322401032.CrossRefPubMed Mimura LY, Villares SM, Monteiro ML, Guazzelli IC, Bloise W: Peroxisome proliferator-activated receptor-gamma gene expression in orbital adipose/connective tissues is increased during the active stage of Graves' ophthalmopathy. Thyroid. 2003, 13 (9): 845-50. 10.1089/105072503322401032.CrossRefPubMed
11.
go back to reference Wakelkamp I, Bakker O, Baldeschi L, Wiersinga WM, Prummel MF: TSH-R expression and cytokine profile in orbital tissue of active vs inactive Graves' ophthalmopathy patients. Clin Endocrinol. 2003, 58: 280-287. 10.1046/j.1365-2265.2003.01708.x.CrossRef Wakelkamp I, Bakker O, Baldeschi L, Wiersinga WM, Prummel MF: TSH-R expression and cytokine profile in orbital tissue of active vs inactive Graves' ophthalmopathy patients. Clin Endocrinol. 2003, 58: 280-287. 10.1046/j.1365-2265.2003.01708.x.CrossRef
12.
go back to reference Starkey K, Heufelder A, Baker G, Joba W, Evans M, Davies S, Ludgate M: Peroxisome proliferator-activated receptor-gamma in thyroid eye disease: contraindication for thiazolidinedione use?. J Clin Endocrinol Metab. 2003, 88: 55-9. 10.1210/jc.2002-020987.CrossRefPubMed Starkey K, Heufelder A, Baker G, Joba W, Evans M, Davies S, Ludgate M: Peroxisome proliferator-activated receptor-gamma in thyroid eye disease: contraindication for thiazolidinedione use?. J Clin Endocrinol Metab. 2003, 88: 55-9. 10.1210/jc.2002-020987.CrossRefPubMed
13.
go back to reference Levin F, Kazim M, Smith TJ, Marcovici E: Rosiglitazone-induced proptosis. Arch Ophthalmol. 2005, 123: 119-21. 10.1001/archopht.123.1.119.CrossRefPubMed Levin F, Kazim M, Smith TJ, Marcovici E: Rosiglitazone-induced proptosis. Arch Ophthalmol. 2005, 123: 119-21. 10.1001/archopht.123.1.119.CrossRefPubMed
14.
go back to reference Dorkhan M, Lantz M, Frid A, Groop L, Hallengren B: Treatment with a thiazolidinedione increases eye protrusion in a subgroup of patients with type 2 diabetes. Clin Endocrinol (Oxf). 2006, 65: 35-9. 10.1111/j.1365-2265.2006.02542.x.CrossRef Dorkhan M, Lantz M, Frid A, Groop L, Hallengren B: Treatment with a thiazolidinedione increases eye protrusion in a subgroup of patients with type 2 diabetes. Clin Endocrinol (Oxf). 2006, 65: 35-9. 10.1111/j.1365-2265.2006.02542.x.CrossRef
Metadata
Title
Thiazolidinedione induced thyroid associated orbitopathy
Authors
Seongmu Lee
Angelo Tsirbas
Robert A Goldberg
John D McCann
Publication date
01-12-2007
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2007
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/1471-2415-7-8

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