PMID- 22655217 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20120823 LR - 20220318 IS - 2042-0072 (Electronic) IS - 2090-8067 (Print) VI - 2012 DP - 2012 TI - Changes of TSH-Stimulation Blocking Antibody (TSBAb) and Thyroid Stimulating Antibody (TSAb) Over 10 Years in 34 TSBAb-Positive Patients with Hypothyroidism and in 98 TSAb-Positive Graves' Patients with Hyperthyroidism: Reevaluation of TSBAb and TSAb in TSH-Receptor-Antibody (TRAb)-Positive Patients. PG - 182176 LID - 10.1155/2012/182176 [doi] LID - 182176 AB - TWO TRABS: TSBAb and TSAb. TSBAb causes hypothyroidism. TSAb causes Graves' hyperthyroidism. TSBAb and TSAb block TSH-binding to cells as TRAb, measured as TSH-binding inhibitory immunoglobulin (TBII). We reevaluate TSBAb and TSAb. We studied TSBAb, TSAb, and TBII over 10 years in 34 TSBAb-positives with hypothyroidism and in 98 TSAb-positives with hyperthyroidism. Half of the 34 TSBAb-positives with hypothyroidism continued to have persistently positive TSBAb, continued to have hypothyroidism, and did not recover from hypothyroidism. Ten of the 98 TSAb-positives with hyperthyroidism continued to have positive TSAb and continued to have hyperthyroidism. TSBAb had disappeared in 15 of the 34 TSBAb-positives with hypothyroidism. With the disappearance of TSBAb, recovery from hypothyroidism was noted in 13 (87%) of the 15 patients. TSAb had disappeared in 73 of the 98 TSAb-positives with hyperthyroidism. With the disappearance of TSAb, remissions of hyperthyroidism were noted in 60 (82%) of the 73. Two of the 34 TSBAb-positives with hypothyroidism developed TSAb-positive Graves' hyperthyroidism. Two of the 98 TSAb-positive Graves' patients with hyperthyroidism developed TSBAb-positive hypothyroidism. TSBAb and TSAb are TRAbs. TSBAb-hypothyroidism and TSAb-hyperthyroidism may be two aspects of one disease (TRAb disease). Two forms of autoimmune thyroiditis: atrophic and goitrous. We followed 34 TSBAb-positive patients with hypothyroidism (24 atrophic and 10 goitrous) over 10 years. All of the 10 TSBAb-positive goitrous patients recovered from hypothyroidism and 19 (79%) of the 24 TSBAb-positive atrophic patients continued to have hypothyroidism. FAU - Takasu, Nobuyuki AU - Takasu N AD - Department of Endocrinology and Metabolism, Aizawa Hospital, 2-5-1 Honjo, Mtasumoto 390-8521, Japan. FAU - Matsushita, Mina AU - Matsushita M LA - eng PT - Journal Article DEP - 20120510 PL - United States TA - J Thyroid Res JT - Journal of thyroid research JID - 101536655 PMC - PMC3359712 EDAT- 2012/06/02 06:00 MHDA- 2012/06/02 06:01 PMCR- 2012/05/10 CRDT- 2012/06/02 06:00 PHST- 2011/08/31 00:00 [received] PHST- 2012/01/22 00:00 [revised] PHST- 2012/01/24 00:00 [accepted] PHST- 2012/06/02 06:00 [entrez] PHST- 2012/06/02 06:00 [pubmed] PHST- 2012/06/02 06:01 [medline] PHST- 2012/05/10 00:00 [pmc-release] AID - 10.1155/2012/182176 [doi] PST - ppublish SO - J Thyroid Res. 2012;2012:182176. doi: 10.1155/2012/182176. Epub 2012 May 10.