Prevalence of thyroid autoimmunity in children with celiac disease compared to healthy 12-year olds

Maria van der Pals1, Anneli Ivarsson2, Fredrik Norström2

  • 1Department of Pediatrics, Clinical Sciences, Skåne University Hospital, Lund University, 205 02 Lund, Sweden.

Autoimmune Diseases
|March 5, 2014
PubMed

Insights

Children with celiac disease have a higher risk of thyroid autoimmunity. This study found no increased risk for thyroid autoimmunity in untreated celiac disease, suggesting early treatment may not prevent other autoimmune conditions.

Area of Science:

  • Pediatric autoimmune diseases
  • Endocrinology
  • Gastroenterology

Background:

  • Celiac disease is linked to other autoimmune conditions.
  • The specific relationship between untreated celiac disease and thyroid autoimmunity in children requires further investigation.

Purpose of the Study:

  • To determine the prevalence of thyroid autoimmunity in children with diagnosed and treated celiac disease, newly diagnosed untreated celiac disease, and without celiac disease.
  • To assess if untreated celiac disease increases the risk of developing thyroid autoimmunity.

Main Methods:

  • A cohort study involving 12,632 children.
  • Blood samples analyzed for thyroid peroxidase autoantibodies (TPOAb).
  • Cases of celiac disease (diagnosed and screening-detected) were matched with referents.

Main Results:

  • 335 celiac disease cases identified.
  • 7.2% of children with celiac disease had elevated TPOAb, compared to 2.8% of referents.
  • No significant difference in TPOAb positivity was found between treated and untreated celiac disease groups.

Conclusions:

  • Children with celiac disease exhibit a higher prevalence of thyroid autoimmunity.
  • The study did not support the hypothesis that untreated celiac disease is associated with an increased risk of thyroid autoimmunity.
  • Early celiac disease treatment initiation may not reduce the risk of developing other autoimmune diseases.

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