Doença de Graves

Celestino Neves*, Marta Alves*, José Luís Delgado††, José Luís Medina*

 

*Serviço de Endocrinologia, Hospital de São João, EPE, Porto e Faculdade de Medicina da Universidade do Porto; †Serviço de Imunologia, Hospital de São João, EPE, Porto

 

A doença de Graves é a principal causa de hipertiroidismo. É uma doença auto-imune de etiologia não esclarecida, certamente multifactorial e com evidente predisposição genética. A sua frequência, a sua natureza auto-imune e as consequências potencialmente graves da doença não tratada fazem dela objecto de intensa investigação, tendo em vista a melhor compreensão dos mecanismos patogénicos e a descoberta de novas terapêuticas, mais eficazes e idealmente dirigidas contra o próprio processo auto-imune. Os autores decidiram congregar nesta revisão o conhecimento actual mais relevante sobre o tema, de modo a optimizar a qualidade da prática clínica.

Palavras-chave: doença tiroideia auto-imune; hipertiroidismo; Graves.

 

Graves' Disease

Graves’disease is the major cause of hyperthyroidism. It is an autoimmune disease of a certainly multifactorial unknown etiology, with genetic predisposition evidence. Its frequency, the autoimmune nature and the potentially serious consequences of the untreated disease make it an object of intense investigation, being in mind the best understanding of the pathogenic mechanisms and the discovery of new and more efficient therapeutics, ideally directed against the autoimmune process itself. The authors decided to bring together in this revision the most relevant current knowledge on this subject, in way to optimize the quality of the clinical practice.

Key-words: thyroid autoimmune disease; hyperthyroidism; Graves´ disease.

 

 

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Correspondência:

Dr. Celestino Neves

Serviço de Endocrinologia

Hospital de São João

Alameda Prof. Hernâni Monteiro

4200-319 Porto

e-mail: celestino.neves@sapo.pt