Thyroid disease

Clinical Significance of Thyroid Autoantibodies in Differential Diagnosis and Predicting the Course of Programmed Cell Death Protein-1 Inhibitor-Induced Thyroid Dysfunction

Endocr PractPublished Retrospective cohort study

Authors' conclusion

In patients with thyrotoxicosis caused by PD-1 inhibitors, serum TgAb, and TPOAb levels can be used to distinguish between primary hyperthyroidism and destructive thyroiditis. This study provides insights into novel treatment targets and effective management strategies for PD-1-induced thyrotoxicosis.

Study context

Population
Patients with thyroid dysfunction who received PD-1 inhibitors at one hospital, January 2022–June 2024plus 42 controls
Participants
161 patients
Exposure
Thyroid autoantibody positivity across PD-1 inhibitor-induced thyroid dysfunction types; PD-1-induced destructive thyroiditis vs Hashimoto's thyroiditis
  • Hashimoto's thyroiditisn = 42reference
Outcome
Thyroid autoantibody positivity
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

GroupValueTPOAb-positive casesTPOAb or TgAb positivity rate
Primary hypothyroidism1 events1
Destructive thyroiditis92.9%92.9%

Value

Primary hypothyroidism1 events
Destructive thyroiditis92.9%

TPOAb-positive cases

Primary hypothyroidism1
Destructive thyroiditis— not stated in the abstract

TPOAb or TgAb positivity rate

Primary hypothyroidism— not stated in the abstract
Destructive thyroiditis92.9%

Observational data: associations, not effects.

Further findings

Age, sex and time from thyrotoxicosis to hypothyroidism, destructive thyroiditis vs Hashimoto's thyroiditis

Statistically significant differences in age, sex and time from thyrotoxicosis to hypothyroidism

Original publication

Clinical Significance of Thyroid Autoantibodies in Differential Diagnosis and Predicting the Course of Programmed Cell Death Protein-1 Inhibitor-Induced Thyroid Dysfunction. Endocr Pract. Published 30 August 2024. doi:10.1016/j.eprac.2024.08.012

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.