FIELD: medicine; endocrinology.
SUBSTANCE: invention relates to medicine, specifically to endocrinology, and can be used for personalized approach to choosing method for treatment of Graves' disease. Perform single blood sampling and testing. Determine the percentage of regulatory T cells- CD3+CD4+CD127LowCD25High and activated B-lymphocytes - CD19+CD23+ by flow cytometry. Calculate the value of B-cell regulation coefficient (BCR) according to the formula: BCR = activated B-lymphocytes/regulatory T-cells. With a BCR value is equal to or lower than 0.74, radioiodine therapy is chosen. With a BCR value of 0.75 to 1.32, pharmacological therapy is chosen. With a WRC value is equal to or higher than 1.33 - surgical treatment is chosen.
EFFECT: method provides the possibility of an effective personalized approach to the choice of a method for treatment of Graves' disease by determination of regulatory T-cells and activated B-lymphocytes percentage.
1 cl, 3 ex
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Authors
Dates
2023-04-25—Published
2022-08-26—Filed