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Related Experiment Videos

Thyroid dysfunction in primary Sjögren's syndrome: a long-term followup study.

Frédérique D'Arbonneau1, Séverine Ansart, Rozenn Le Berre

  • 1Laboratory of Immunology, Brest University Medical School Hospital, F-29609 Brest Cedex, France.

Arthritis and Rheumatism
|December 16, 2003
PubMed
Summary

Thyroid dysfunction and autoantibodies are common in primary Sjögren's syndrome (pSS). Autoantibodies can predict future thyroid disorders in pSS patients, highlighting the need for monitoring.

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Area of Science:

  • Endocrinology
  • Rheumatology
  • Immunology

Background:

  • Primary Sjögren's syndrome (pSS) is a chronic autoimmune disease.
  • Thyroid dysfunction is a known comorbidity in autoimmune conditions.

Purpose of the Study:

  • To assess the prevalence of thyroid dysfunction and autoantibodies in pSS patients.
  • To determine the development of thyroid abnormalities over time in pSS.

Main Methods:

  • 137 pSS patients and 120 controls were evaluated for thyroid dysfunction and anti-thyroid antibodies (anti-TPO, ATG).
  • Follow-up ranged from 1-16 years for pSS patients; controls were re-evaluated after 3 years.

Main Results:

  • Thyroid disease occurred significantly more often in pSS patients (30%) than controls (4%).

Related Experiment Videos

  • Anti-thyroid peroxidase (anti-TPO) and antithyroglobulin (ATG) antibodies were more frequent in pSS patients.
  • Thyroid dysfunction developed in 12 of 97 euthyroid pSS patients during follow-up.
  • Conclusions:

    • Thyroid dysfunction is highly prevalent in primary Sjögren's syndrome.
    • Thyroid-related autoantibodies, rheumatoid factor, and anti-Ro/SSA activity can identify pSS patients at risk for thyroid disorders.