Clinical Study

Influence of Methylprednisolone Pulse Therapy on Liver Function in Patients with Graves’ Orbitopathy

Table 1

Group characteristics.

Moderate-to-severe GODON value

Number of patients4919
Etiology of Graves’ ophthalmopathy
Graves’ disease48190.5545
Hashimoto thyroiditis100.7246
Sex
Females34120.5011
Males1570.4610
Age (years)52.4 ± 11.763.6 ± 11.30.0004
Current smokers2580.4439
Past smokers37150.5364
Nonsmokers1240.5413
BMI (kg/m2)26.2 ± 4.425.6 ± 4.60.0844
Median CAS430.7350
131I radiotherapy1050.4480
Thyroidectomy520.6375
Comorbidity
Liver steatosis1350.6207
Statins1170.1828
Mean fT4 (pmol/L)16.4419.790.2031
Mean aTPO (U/mL)2111470.1044
Mean aTG (U/mL)2701640.3672
Mean TBII (IU/L)11130.6657
Mean AST (IU/L)21230.1585
Mean ALT (IU/L)25260.3457
Mean total bilirubin (μmol/l)11.1211.970.5583

GO—Graves’ orbitopathy; DON—dysthyroid optic neuropathy; BMI—body mass index; CAS—clinical activity score; TSH—thyroid-stimulating hormone (normal range: 0.27–4.2 IU/mL); fT3—free triiodothyronine (normal range: 3.1–6.8 pmol/L); fT4—free thyroxine (normal range: 12.0–22.0 pmol/L); aTPO—anti-thyroid peroxidase (normal range < 34 U/mL); aTG—thyroglobulin antibodies (normal range < 115 U/mL); TBII—thyroid-binding inhibitory immunoglobulin (normal range < 1.75 U/mL); AST—aspartate aminotransferase (normal range: 5–40 IU/L); ALT—alanine aminotransferase (normal range: 7–56 IU/L); total bilirubin (normal range: 3.42–20.52 μmol/L).