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Autoimmune thyroid disease in Egyptian patients with rheumatoid arthritis

机译:埃及类风湿关节炎患者的自身免疫性甲状腺疾病

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Aim of the workTo determine the frequency of autoimmune thyroid disease (AITD), anti-thyroglobulin (ATG) and anti-thyroid peroxidase (ATPO) antibodies in Egyptian patients with rheumatoid arthritis (RA).Patients and methods60 RA patients and 60 matched controls were enrolled. Clinical and laboratory data were examined in the patients. The disease activity score (DAS28) and modified health assessment questionnaire (MHAQ) were evaluated. Presence of AITD, ATG and ATPO antibodies were assessed.ResultsThe mean age of the patients was 41?±?10.5?years, 43 (71.7%) were females and had a disease duration of 8.6?±?4.1?years. Their mean anti-cyclic citrullinated peptide level was 31.8?±?33.5?IU/ml), DAS28 (4?±?1.4) and MHAQ was 1.5?±?0.5. The thyroid hormones (T3, T4 and thyroid stimulating hormone) were comparable to that of the control. The ATG (80.7?±?39.3?IU/ml) and ATPO (70.3?±?39.7?IU/ml) antibodies were significantly increased in RA patients compared to the control (21.5?±?6.6?IU/ml and 20.5?±?11.2?IU/ml respectively; p?
机译:该研究的目的是确定埃及类风湿关节炎(RA)患者的自身免疫性甲状腺疾病(AITD),抗甲状腺球蛋白(ATG)和抗甲状腺过氧化物酶(ATPO)抗体的频率。报名参加。检查患者的临床和实验室数据。评估疾病活动评分(DAS28)和改良健康评估问卷(MHAQ)。结果患者的平均年龄为41?±?10.5?岁,女性为43岁(71.7%),病程为8.6?±4.1?岁。他们的平均抗环瓜氨酸肽水平为31.8±±33.5μIU/ ml),DAS28(4±±1.4)和MHAQ为1.5±±0.5。甲状腺激素(T3,T4和促甲状腺激素)与对照组相当。与对照组相比,RA患者的ATG(80.7±±39.3μIU/ ml)和ATPO(70.3±±39.7μIU/ ml)抗体显着增加(21.5±±6.6μIU/ ml和20.5μg/ ml)。分别±11.2ΩIU/ ml; p <0.001。甲状腺功能障碍的患病率为38.3%,而对照组为6.7%(p <0.001)。患者的AITD,ATG和ATPO频率高于对照组(分别为0%,3.3%和6.7%)(分别为23.3%,26.7%和33.3%)。患者的ATG抗体,ATPO抗体和AITD阳性与年龄,女性,红细胞沉降率和DAS28密切相关。结论AITD在RA患者中很常见。因此,需要在RA患者中,特别是在年轻患者,女性和具有高疾病活性的患者中,筛查甲状腺激素功能障碍以及是否存在ATPO和ATG抗体作为AITD的标志物。

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