Review of Current First-Line Pharmacotherapy Strategies for Thyroid Eye Disease

Thyroid eye disease (TED) is a challenging autoimmune disorder that often requires therapeutic intervention. Glucocorticoids (GCs), particularly in intravenous (IV) regimens, remain the first-line treatment due to their strong anti-inflammatory and immunosuppressive effects. This paper focuses on t...

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Main Authors: Julia Ryniecka, Maciej Wojszczyk, Damian Zys, Piotr Pasek, Julia Kulbacka, Michalina Wójcikiewicz, Marta Chuncia-Ileczko, Julia Kacperczyk, Filip Arczewski, Karol Dziedzic
Format: Article
Language:English
Published: Nicolaus Copernicus University in Toruń 2025-01-01
Series:Quality in Sport
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Online Access:https://apcz.umk.pl/QS/article/view/57699
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author Julia Ryniecka
Maciej Wojszczyk
Damian Zys
Piotr Pasek
Julia Kulbacka
Michalina Wójcikiewicz
Marta Chuncia-Ileczko
Julia Kacperczyk
Filip Arczewski
Karol Dziedzic
author_facet Julia Ryniecka
Maciej Wojszczyk
Damian Zys
Piotr Pasek
Julia Kulbacka
Michalina Wójcikiewicz
Marta Chuncia-Ileczko
Julia Kacperczyk
Filip Arczewski
Karol Dziedzic
author_sort Julia Ryniecka
collection DOAJ
description Thyroid eye disease (TED) is a challenging autoimmune disorder that often requires therapeutic intervention. Glucocorticoids (GCs), particularly in intravenous (IV) regimens, remain the first-line treatment due to their strong anti-inflammatory and immunosuppressive effects. This paper focuses on the efficacy, protocols, and safety profiles of selenium supplementation and glucocorticoid therapy, emphasizing its central role in TED management. Alternative therapies, such as teprotumumab, rituximab, and tocilizumab, are briefly discussed as potential options for patients with moderate-to-severe TED, who are unresponsive or intolerant to glucocorticoids. Adherence to recommended dosing protocols and careful monitoring of adverse effects are essential to optimize treatment outcomes.
format Article
id doaj-art-e925a55a57c64788819983690a8ff58d
institution Kabale University
issn 2450-3118
language English
publishDate 2025-01-01
publisher Nicolaus Copernicus University in Toruń
record_format Article
series Quality in Sport
spelling doaj-art-e925a55a57c64788819983690a8ff58d2025-02-03T08:23:59ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182025-01-013710.12775/QS.2025.37.57699Review of Current First-Line Pharmacotherapy Strategies for Thyroid Eye DiseaseJulia Ryniecka0https://orcid.org/0009-0000-5937-9498Maciej Wojszczyk1https://orcid.org/0009-0002-8668-8821Damian Zys2https://orcid.org/0009-0003-6578-6710Piotr Pasek3https://orcid.org/0009-0001-6218-9887Julia Kulbacka4https://orcid.org/0009-0005-1181-9104Michalina Wójcikiewicz5https://orcid.org/0009-0003-3671-1410Marta Chuncia-Ileczko6https://orcid.org/0009-0000-0913-9752Julia Kacperczyk7https://orcid.org/0009-0007-6354-301XFilip Arczewski8https://orcid.org/0009-0008-5179-7255Karol Dziedzic9https://orcid.org/0009-0007-8317-723XMedical University of Lodz, Al T .Kosciuszki 4, 90-419 Lodz, PolandUniversity Clinical Hospital No. 1 of the Medical University of Lodz, ul. Kopcińskiego 22, 90-153 Łódź University Clinical Hospital No. 1 of the Medical University of Lodz, ul. Kopcińskiego 22, 90-153 Lodz, PolandCopernicus Memorial Hospital, ul. Pabianicka 62, 93-513 Lodz, PolandCentral Teaching Hospital of the Medical University of Lodz, Pomorska 251, 92-213 Lodz, PolandCentral Teaching Hospital of the Medical University of Lodz, Pomorska 251, 92-213 Lodz, Poland Central Teaching Hospital of the Medical University of Lodz, Pomorska 251, 92-213 Lodz, PolandMedical University of Lodz, Al. T. Kosciuszki 4, 90–419 Lodz, PolandMedical University of Lodz, Al T .Kosciuszki 4, 90-419 Lodz, PolandMedical University of Lodz, Al T .Kosciuszki 4, 90-419 Lodz, Poland Thyroid eye disease (TED) is a challenging autoimmune disorder that often requires therapeutic intervention. Glucocorticoids (GCs), particularly in intravenous (IV) regimens, remain the first-line treatment due to their strong anti-inflammatory and immunosuppressive effects. This paper focuses on the efficacy, protocols, and safety profiles of selenium supplementation and glucocorticoid therapy, emphasizing its central role in TED management. Alternative therapies, such as teprotumumab, rituximab, and tocilizumab, are briefly discussed as potential options for patients with moderate-to-severe TED, who are unresponsive or intolerant to glucocorticoids. Adherence to recommended dosing protocols and careful monitoring of adverse effects are essential to optimize treatment outcomes. https://apcz.umk.pl/QS/article/view/57699Thyroid eye disease (TED)glucocorticoids (GCs)mild TEDmoderate-to-severe TEDsight-threatening TEDintravenous glucocorticoids (IVGCs)
spellingShingle Julia Ryniecka
Maciej Wojszczyk
Damian Zys
Piotr Pasek
Julia Kulbacka
Michalina Wójcikiewicz
Marta Chuncia-Ileczko
Julia Kacperczyk
Filip Arczewski
Karol Dziedzic
Review of Current First-Line Pharmacotherapy Strategies for Thyroid Eye Disease
Quality in Sport
Thyroid eye disease (TED)
glucocorticoids (GCs)
mild TED
moderate-to-severe TED
sight-threatening TED
intravenous glucocorticoids (IVGCs)
title Review of Current First-Line Pharmacotherapy Strategies for Thyroid Eye Disease
title_full Review of Current First-Line Pharmacotherapy Strategies for Thyroid Eye Disease
title_fullStr Review of Current First-Line Pharmacotherapy Strategies for Thyroid Eye Disease
title_full_unstemmed Review of Current First-Line Pharmacotherapy Strategies for Thyroid Eye Disease
title_short Review of Current First-Line Pharmacotherapy Strategies for Thyroid Eye Disease
title_sort review of current first line pharmacotherapy strategies for thyroid eye disease
topic Thyroid eye disease (TED)
glucocorticoids (GCs)
mild TED
moderate-to-severe TED
sight-threatening TED
intravenous glucocorticoids (IVGCs)
url https://apcz.umk.pl/QS/article/view/57699
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