Clinical Study

Lithium Carbonate in the Treatment of Graves’ Disease with ATD-Induced Hepatic Injury or Leukopenia

Table 1

Clinical and biochemical features of the study groups at baseline.

GD with hepatic injuryGD with leukopenia

Patients (male/female), 33 (5/28)18 (3/15)0.246
Age (month)32.18 ± 15.2135.25 ± 12.530.121
Duration (month)12.34 ± 5.1313.25 ± 6.51 0.435
Thyroid hormone
 FT3 (pmol/L)10.12 ± 4.5810.86 ± 5.350.421
 FT4 (pmol/L)27.46 ± 8.9428.52 ± 10.230.224
 TSH (mIU/L)0.11 ± 0.050.12 ± 0.040.532
Antibody
 TRAb (U/L)5.82 ± 7.116.13 ± 6.980.536
 Positive TRAb (%)30 (91)17 (94)0.452
 Positive TPOAb (%)11 (33)7 (39)0.251
 Positive TGAb (%)12 (36)5 (28)0.324
Liver function
 ALT (U/L)183.95 ± 124.5819.64 ± 12.730.000
 AST (U/L)135.32 ± 131.4618.27 ± 10.440.000
 TBIL (μmol/L)21.30 ± 11.6912.38 ± 8.470.000
Blood cell count
 WBC (×109/L)6.49 ± 1.732.71 ± 0.580.000
 N (×109/L)3.23 ± 0.891.35 ± 0.420.000
Thyromegaly (%)
 I10 (30)7 (39)0.832
 II23 (70)11 (61)0.726
Used ATD (%)
 MMI27 (81)15 (83)0.321
 PTU6 (19)3 (17)0.234

Data were expressed as mean ± standard deviation or percentage of the total. FT4, free thyroxine; FT3, free triiodothyronine; TSH, Thyroid Stimulating Hormone; TRAb, thyrotropin receptor antibody; TgAb, thyroglobulin antibodies; TPOAb, thyroglobulin antibodies; ALT, aminotransferase; AST, aspartate aminotransferase; WBC, white blood cell; N, neutrophil.