重视Graves眼病的病情评估

Graves′ophthalmopathy:emphasis on assessment

Graves眼病(Graves′ophthalmopathy,GO)是一种与甲状腺疾病密切相关的自身免疫性疾病。GO临床表现多样,诊疗复杂,治疗手段繁多,缺少对因治疗。治疗方案的选择、疗效的评价以及患者结局的预测需要依赖对病情的评估。本文分析了GO的临床特点,提出了从危险因素、临床活动性、疾病严重度以及生活质量和心理状况评估GO病情的具体方法,倡导临床医生重视GO的病情评估。

Graves′ophthalmopathy(GO)is an autoimmune disease closely related to thyroid diseases.Clinical manifestations of GO are various,making it hard to be diagnozed and treated.There are a number of treatments available clinically,however etiological treatment remains scarce.The choice of treatment,the evaluation of therapeutic effect and the prediction of patients′outcomes should be rooted in the evaluation of patients′condition.In this review,the clinical characteristics of GO were analyzed,and key points of assessment including risk factors,clinical activity,disease severity,quality of life and psychological status were also proposed.Clinicians are encouraged to shed more focus on the assessment of GO.