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1.

001-es BibID:BIBFORM040952
Első szerző:Bakó Gyula (belgyógyász)
Cím:Changes of level of thyroid autoantibodies (TBII, TSAb, anti-HTG, anti-TPO) during metimazole treatment of patients with Basedow's disease / Bako Gy., Nagy E., Forizs E., Szabo J., Karanyi Zs., Mezosi E., Leovey A.
Dátum:1994
Tárgyszavak:Orvostudományok Klinikai orvostudományok könyvfejezet
Megjelenés:Schilddrüse. Therapie der Hyperthyreose / szerk. Reinwein D., Weinheimer B. - p. 85-90.
További szerzők:Nagy Endre V. (1957-) (belgyógyász, endokrinológus) Fórizs Erzsébet Szabó Jenő (belgyógyász, endocrinologus) Karányi Zsolt (1961-) (biostatisztikus, bioinformatikus) Mezősi Emese Leövey András (1926-) (belgyógyász)
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2.

001-es BibID:BIBFORM041191
Első szerző:Mezősi Emese
Cím:Prevalence of iodine deficiency and goitre during pregnancy in east Hungary / Mezosi E., Molnar I., Jakab A., Balogh E., Karanyi Z., Pakozdy Z., Nagy P., Gyory F., Szabo J., Bajnok L., Leovey A., Kakuk G., Nagy E. V.
Dátum:2000
ISSN:0804-4643
Megjegyzések:OBJECTIVE: To assess the iodine nutritional status and the prevalence of goitre during pregnancy in a region of Hungary that appeared to be iodine sufficient in previous studies. DESIGN: A cross-sectional voluntary screening study was organized in which 313 pregnant women participated. METHODS: Urine iodine concentration and the volume of the thyroid gland were measured in every woman. In the presence of low urinary iodine concentrations, goitre, or both, thyroid function tests were performed. RESULTS: Iodine deficiency was found in 57.1% of the pregnant women, and was severe in 15.6%. The volume of the thyroid gland was enlarged in 19.2% of individuals. Nodular goitre was found in 17 women (5.4%). The frequency of goitre and the mean thyroid volume were increased in the group of iodine-deficient women. In the 89 cases of iodine deficiency or goitre, thyrotrophin concentrations were in the normal range; however, the free triiodothyronine:free throxine ratio was increased in 97% of them, indicating that the thyroid gland was in a stimulated state in these individuals. CONCLUSIONS: Iodine deficiency with high prevalence of goitre was recognized among pregnant women in an area that previously appeared to be iodine sufficient. An unexpected mild iodine deficiency was also noted in the non-pregnant control group. Reassessment and continuous monitoring of iodine nutritional status is warranted even in populations that are apparently considered to be 'at no risk' of iodine deficiency, especially in pregnant women. Regular administration of iodine, starting at preconception or in early pregnancy and continuing during the period of nursing, is recommended in these regions.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:European Journal Of Endocrinology. - 143 : 4 (2000), p. 479-483. -
További szerzők:Molnár Ildikó (1953-) (belgyógyász, endokrin, immun- és allergológiai szakorvos) Jakab A. (orvos) Balogh E. Karányi Zsolt (1961-) (biostatisztikus, bioinformatikus) Pákozdy Zsuzsanna Nagy P. Győry Ferenc (1964-) (sebész) Szabó J. (orvos) Bajnok László (1961-) (belgyógyász) Leövey András (1926-) (belgyógyász) Kakuk György (1938-2018) (belgyógyász) Nagy Endre V. (1957-) (belgyógyász, endokrinológus)
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3.

001-es BibID:BIBFORM030314
Első szerző:Nagy Endre V. (belgyógyász, endokrinológus)
Cím:Graves' ophthalmopathy : eye muscle involvement in patients with diplopia / Endre V. Nagy, Judit Toth, Ildiko Kaldi, Judit Damjanovich, Emese Mezosi, Agota Lenkey, Laszlo Toth, Jeno Szabo, Zsolt Karanyi, Andras Leovey
Dátum:2000
Megjegyzések:Background: Diplopia identifies patients with eye muscle involvement in Graves' ophthalmopathy (GO).Objective: To identify clinical parameters that could eliminate the need for magnetic resonance imaging(MRI) to assess the activity of inflammation in the eye muscles of GO patients with diplopia.Methods: In 43 patients with GO with recently developed diplopia, orbital ultrasound and MRI wereperformed. Muscle diameters and MRI T2 relaxation times were measured, and the amount of orbitalconnective tissue was calculated from MRI scans and compared with ultrasound readings, diplopiagrades, degree of protrusion, ocular pressure, tear production, antibody levels and hormonalparameters of thyroid function.Results: No correlation was found between diameters of 233 extraocular muscles measured by MRIand by ultrasound. For each of the four muscles, there was a diameter above which ultrasound wasalways unreliable. MRI data were used in further analysis. Of the muscles examined, the inferiorrectuses were the most frequently enlarged ? at least one, in 93% of cases. Medial, lateral and superiorrectuses were enlarged in 59%, 37% and 34% of the orbits respectively. The pattern of muscleinvolvement of the two orbits tended to be symmetric (r?0.49, P?0.003), particularly for the medialrectuses (r?0.90, P?0.000). Proptosis correlated with the sum of the muscle diameters for a giveneye (right eye: r?0.54, P?0.003; left eye: r?0.57, P?0.001), but it failed to correlate with theamount of orbital connective tissue. In 53% of the patients, normal T2 relaxation times were found inall eight muscles. There was only a weak correlation between muscle thickness and T2 relaxation time(r?0.49, P?0.003), indicating that muscle enlargement alone is not a sign of disease activity. Theseverity of diplopia was independent of T2 relaxation time. The amount of orbital connective tissueshowed a negative correlation with the greatest T2 relaxation time for a given eye (r? ?0.52,P?0.004); this suggests that disease types exist that have predominant muscle involvement andpredominant connective tissue expansion. No correlation between connective tissue expansion andproptosis, diplopia grade, muscle thickness or disease duration was found ? that is, connective tissueexpansion is not a major factor in diplopia. Both muscle and connective tissue findings wereindependent of thyroid function.Conclusion: Ultrasound and MRI eye muscle diameter readings do not correlate, because of the inherentinaccuracy of orbital ultrasound. Muscle enlargement alone does not mean oedematous swelling andactive disease. Neither ultrasound, nor any combination of 11 clinical and laboratory parametersprovided the degree of information on muscles and connective tissue that was obtainable by MRI. Inunclear cases of recently developed diplopia, before orbital decompression surgery, in the case oftreatment failure or if, for any other reason, imaging is needed in GO, MRI is the method of choice.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
egyetemen (Magyarországon) készült közlemény
Megjelenés:European Journal of Endocrinology. - 142 : 6 (2000), p. 591-597. -
További szerzők:Tóth Judit Káldi Ildikó (szemész) Damjanovich Judit (1963-) (szemész) Mezősi Emese Lenkey Ágota (1944-) (biológus) Tóth László (1957-) (fül-orr-gégész) Szabó Jenő (belgyógyász, endocrinologus) Karányi Zsolt (1961-) (biostatisztikus, bioinformatikus) Leövey András (1926-) (belgyógyász)
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4.

001-es BibID:BIBFORM039775
035-os BibID:PMID:12239055
Első szerző:Szűcs-Farkas Zsolt
Cím:Using morphologic parameters of extraocular muscles for diagnosis and follow-up of Graves' ophthalmopathy : diameters, areas, or volumes? / Zsolt Szucs-Farkas, Judit Toth, Erzsebet Balazs, Laszlo Galuska, Kenneth D. Burman, Zsolt Karanyi, Andras Leovey, Endre V. Nagy
Dátum:2002
Megjegyzések:OBJECTIVE: The objective of this study was to find the most appropriate, accurate, and convenient muscle parameter that can be used as a substitute for volume in monitoring the effectiveness of therapy of patients with Graves' ophthalmopathy. SUBJECTS AND METHODS: The four rectus muscles in 110 orbits (35 patients and 20 control subjects) were evaluated with MR imaging. The diameter at the largest extent of the muscle belly, as well as the long and the short diameters and the cross-sectional areas in a preselected coronal scan, were measured for each muscle and were compared with the corresponding muscle volume measured on contiguous T1-weighted transverse slices. RESULTS: The measured coronal area correlated well with the volume of the superior (r = 0.694, p < 0.0001) and inferior (r = 0.783, p < 0.0001) recti, and the largest transverse diameter showed strong correlation with the volume of the lateral (r = 0.868, p < 0.0001) and medial (r = 0.869, p < 0.0001) recti. For the latter muscle, the coronal area also exhibited a good correlation with the volume (r = 0.838, p < 0.0001). Coronal cross-sectional areas can be well estimated by measuring both the short and long coronal muscle diameters (r values were between 0.914 and 0.966; p < 0.0001). CONCLUSION: In Graves' ophthalmopathy, the volume of three of the rectus muscles can be well estimated by simple measurements on a single coronal slice, and the largest transverse diameter of the lateral rectus is suitable for the same purpose.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
egyetemen (Magyarországon) készült közlemény
Megjelenés:AJR, American Journal of Roentgenology 179 : 4 (2002), p. 1005-1010. -
További szerzők:Tóth Judit (1964-) (radiológus) Balázs Erzsébet (1952-) (szemész) Galuska László (1946-) (belgyógyász, izotópdiagnoszta) Burman, Kenneth D. Karányi Zsolt (1961-) (biostatisztikus, bioinformatikus) Leövey András (1926-) (belgyógyász) Nagy Endre V. (1957-) (belgyógyász, endokrinológus)
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
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5.

001-es BibID:BIBFORM029177
Első szerző:Ujhelyi Bernadett (szemész)
Cím:Retrobulbar 99mTc-diethylenetriamine-pentaacetic-acid uptake may predict the effectiveness of immunosuppressive therapy in Graves' ophthalmopathy / Bernadett Ujhelyi, Annamaria Erdei, Laszlo Galuska, Jozsef Varga, Lajos Szabados, Erzsebet Balazs, Miklos Bodor, Bela Cseke, Zsolt Karanyi, Andras Leovey, Emese Mezosi, Kenneth D. Burman, Andras Berta, Endre V. Nagy
Dátum:2009
ISSN:1050-7256
Megjegyzések:Background: In Graves' ophthalmopathy (GO), only patients with immunologically active disease respond toimmunosuppressive therapy. Previous studies and theoretical considerations suggest that elevated orbital 99mTcdiethylenetriamine-pentaacetic-acid (DTPA) single photon emission computed tomography (SPECT) reflectsinflammatory disease activity. We studied whether corticosteroid treatment causes a substantial decrease inDTPA uptake in GO, a result consistent with successful immunosuppressive treatment of GO and referred to asa favorable treatment outcome.Methods: One hundred fourteen orbits in 57 patients with active GO (CAS?4) were entered into the study. Allpatients received corticosteroid treatment. Orbital DTPA uptakes were numerically quantified for the entire orbitas well as the anterior and posterior segments separately. DTPA SPECT was performed before, and 2 to 9months after the initiation of immunosuppressive treatment. The normal range for DTPA uptake was establishedin 34 orbits of 17 patients who were being worked up for Raynaud's phenomenon and had no thyroiddisease.Results: The mean DTPA uptake of the 114 orbits of GO patients was higher prior to corticosteroid therapy thanafter this treatment (11.03?4.26MBq/cm3 and 9.84?3.51MBq/cm3, respectively, p<0.001) but a substantialdecline in DTPA uptake was seen in only 39.5% of GO patients. The positive predictive value of an initialDTPA >12.28MBq/cm3 for a substantial decline in DTPA uptake (favorable treatment outcome) was 76%, whilea negative predictive value of a pretreatment DTPA?12.28MBq/cm3 was 78%.Conclusions: Corticosteriod treatment is associated with a decline in DTPA uptake in a fraction of GO patients.GO patients with a DTPA uptake above 12.28MBq/cm3 are more likely to have a favorable response to corticosteroidtherapy while patients with lower values are less likely to have this potentially favorable response.An elevated DTPA uptake may identify patients who are most likely to benefit from immunosuppressivetreatment.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Graves' orbitopathy
immunological activity
DTPA SPECT
egyetemen (Magyarországon) készült közlemény
Megjelenés:Thyroid. - 19 : 4 (2009), p. 375-380. -
További szerzők:Erdei Annamária (1976-) (belgyógyász) Galuska László (1946-) (belgyógyász, izotópdiagnoszta) Varga József (1955-) (fizikus) Szabados Lajos (1977-) (orvos) Balázs Erzsébet (1952-) (szemész) Bodor Miklós (1969-) (belgyógyász, endokrinológus) Cseke Béla (1974-) (belgyógyász, endokrinológus) Karányi Zsolt (1961-) (biostatisztikus, bioinformatikus) Leövey András (1926-) (belgyógyász) Mezősi Emese Burman, Kenneth D. Berta András (1955-) (szemész, gyermekszemész) Nagy Endre V. (1957-) (belgyógyász, endokrinológus)
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