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001-es BibID:	BIBFORM102792
035-os BibID:	(cikkazonosító)e220078
Első szerző:	Erdei Annamária (belgyógyász)
Cím:	Non-surgical orbital decompression using diuresis in dysthyroid optic neuropathy : a case report / Erdei Annamaria, Gazdag Annamaria, Ujhelyi Bernadett, Nagy Edit B., Berenyi Ervin, Berta Eszter, Steiber Zita, Barna Sandor, Mezosi Emese, Bodor Miklos, V. Nagy Endre
Dátum:	2022
ISSN:	2235-0640 2235-0802
Megjegyzések:	Introduction: Dysthyroid optic neuropathy (DON) is a rare, severe form of thyroid eye disease, in which decreased visual acuity is accompanied by characteristic MRI findings. The treatment of DON has always been a challenge. Case presentation: In a patient in whom visual acuity deteriorated on the left eye, mannitol 20% 200 mL followed by furosemide 40 mg 6 h later, administered daily, were initiated on the day of admission. Visual function by ophthalmology methods, and orbital compartment volumes and water content by MRI were followed. Intravenous diuretics resulted in an immediate therapeutic response. Visual acuity improved from 20/50 to 20/25 after 2 days of treatment. MRI revealed decreasing water content of both the muscle and connective tissue compartments without any volume changes. Subsequently, corticosteroids and orbital irradiation were started. Orbital decompression surgery was not required. Discussion/conclusion: Edematous swelling of orbital tissues is an established contributor of local pressure increase in thyroid eye disease. Diuretics reduce orbital pressure and, if confirmed by others, may be useful additions to the standard of care in sight-threatening DON.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk MRI diuretics dysthyroid optic neuropathy thyroid eye disease
Megjelenés:	European Thyroid Journal. - 11 : 5 (2022), p. 1-10. -
További szerzők:	Gazdag Annamária (1979-) (belgyógyász) Ujhelyi Bernadett (1981-) (szemész) Nagy Edit B. Berényi Ervin (1964-) (radiológus) Berta Eszter (1980-) (belgyógyász) Steiber Zita (1977-) (orvos, szemész) Barna Sándor (1982-) (kutató orvos) Mezősi Emese Bodor Miklós (1969-) (belgyógyász, endokrinológus) Nagy Endre V. (1957-) (belgyógyász, endokrinológus)
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001-es BibID:	BIBFORM019212
Első szerző:	Szűcs-Farkas Zsolt
Cím:	Volume Changes in Intra- and Extraorbital Compartments in Patients with Graves' Ophthalmopathy : effect of Smoking / Szucs-Farkas Zsolt, Toth Judit, Kollar Jozsef, Galuska Laszlo, Burman Kenneth D., Boda Judit, Leovey Andras, Varga Jozsef, Ujhelyi Bernadett, Szabo Jeno, Berta Andras, Nagy Endre V.
Dátum:	2005
ISSN:	1050-7256
Megjegyzések:	The objective of this study was to demonstrate the effect of smoking history on soft tissue expansion in specific orbital compartments in patients with Graves' ophthalmopathy. The volumes of the rectus muscles, intra and extraorbital connective, and soft tissues were measured in 110 orbits of 35 patients and 20 control subjects. Data sets from current smokers, ex-smokers, and non-smokers were compared. The total number of cigarettes smoked was calculated, and it was used as an estimate for the severity of smoking (cumulative smoking). The volume measurements were performed on T1-weighted contiguous transversal magnetic resonance images of the orbits. Connective tissue volumes were influenced by smoking history, while muscle volumes were not affected. Ex-smokers had larger amount of extraorbital connective tissue than current smokers (p = 0.012), and this volume showed a good correlation with the number of cigarettes smoked (r = 0.539, p < 0.05). In current smokers, the amount of intraorbital connective tissue correlated well with the cumulative smoking (r = 0.635, p < 0.001). We conclude that connective tissue volumes in certain orbital compartments correlate well with cumulative smoking. Extraocular muscle volumes are not influenced by smoking in patients with Graves' ophthalmopathy.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	Thyroid. - 15 : 2 (2005), p. 146-151. -
További szerzők:	Tóth Judit (1964-) (radiológus) Kollár József (1950-) (radiológus) Galuska László (1946-) (belgyógyász, izotópdiagnoszta) Burman, Kenneth D. Boda Judit (belgyógyász, endokrinológus) Leövey András (1926-) (belgyógyász) Varga József (1955-) (fizikus) Ujhelyi Bernadett (1981-) (szemész) Szabó Jenő (belgyógyász, endocrinologus) Berta András (1955-) (szemész, gyermekszemész) Nagy Endre V. (1957-) (belgyógyász, endokrinológus)
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001-es BibID:	BIBFORM029437
Első szerző:	Ujhelyi Bernadett (szemész)
Cím:	Graves' orbitopathy results in profound changes in tear composition : a study of Plasminogen activator inhibitor-1 (PAI-1) and seven cytokines / Ujhelyi Bernadett, Gogolak Peter, Erdei Annamaria, Nagy Valeria, Balazs Erzsebet, Rajnavolgyi Eva, Berta Andras, Nagy Endre V.
Dátum:	2012
ISSN:	1050-7256
Megjegyzések:	Secretion of cytokines and display of cytokine receptors have been reported in the orbital connective tissue in Graves' orbitopathy (GO). Lacrimal glands are putative autoimmune targets, and changes in tear film and ocular surface have also been described. Our aim was to characterize the cytokine profile of tears in Graves' patients with (GO) and without orbitopathy (GD).Methods: Tear samples were collected from 54 eyes of GO patients (age 43.4 ?15.2 years), 18 eyes of GD patients (age 46.8?11.7 years), and 24 control eyes (age 38.6?13.8 years). Patients underwent ophthalmological examination including Clinical Activity Score (CAS). The level of interleukin (IL)-1beta, IL-6, IL-13, IL-17A, IL-18, Tumor Necrosis Factor-alfa and RANTES (Regulated upon Activation, Normal T-cell Expressed, and Secreted) as well as Plasminogen activator inhibitor-1 (PAI-1) were measured by multiplex bead array and release values were calculated. Results: The release of IL-1beta, IL-6, IL-13, IL-17A, IL-18, TNF-alfa and RANTES were significantly higher in GO patients compared to controls (p<0.05). There was a 2.5-fold increase of IL-6 release. No significant differences were found in cytokine release between the GO and GD groups. In the GO group, significant positive correlation was found between CAS and the release of IL-6 and PAI-1 into tears (r=0.27, p<0.05 and r=0.24, p<0.05, respectively). PAI-1 release was significantly higher in GO than in GD patients, and was increased in both the GD and GO groups compared to controls. Conclusions: Impaired cytokine balance has been observed in tears of GO patients. Secretion of IL-6 into tears might be a useful indicator of disease activity in GO.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban Endokrin orbitopathia könny citokin PAI-1 immunológiai aktivitás
Megjelenés:	Thyroid. - 22 : 4 (2012), p. 407-414. -
További szerzők:	Gogolák Péter (1968-) (biológus, immunológus) Erdei Annamária (1976-) (belgyógyász) Nagy Valéria (1962-) (szemész) Balázs Erzsébet (1952-) (szemész) Rajnavölgyi Éva (1950-) (immunológus) Berta András (1955-) (szemész, gyermekszemész) Nagy Endre V. (1957-) (belgyógyász, endokrinológus)
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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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