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Autoimmune thyroid disorders and coeliac disease
P Collin1, J Salmi, O Hällström
1Department of Clinical Sciences, University of Tampere, Finland.
European Journal of Endocrinology
|February 1, 1994
Summary
Autoimmune thyroid disorder patients show a higher frequency of undiagnosed coeliac disease (4.8%). Screening with specific antibody tests can detect subclinical cases, even without gastrointestinal symptoms.
Area of Science:
- Immunology
- Endocrinology
- Gastroenterology
Background:
- Autoimmune thyroid disorders are common.
- Coeliac disease is an autoimmune disorder triggered by gluten.
- The co-occurrence of these conditions is being investigated.
Purpose of the Study:
- To determine the frequency of coeliac disease in patients with autoimmune thyroid disorders.
- To evaluate the effectiveness of antibody screening for subclinical coeliac disease in this population.
Main Methods:
- Screening 83 patients with autoimmune thyroid disorders for coeliac disease using IgA-class reticulin, endomysium, and gliadin antibody tests.
- Utilizing biochemical malabsorption tests.
- Comparing findings with a control group of blood donors.
Main Results:
- A 4.8% frequency of coeliac disease was found in autoimmune thyroid disorder patients, including three asymptomatic individuals.
- One out of 25 patients with thyroid nodules also had coeliac disease.
- The prevalence in controls was significantly lower (0.4%).
Conclusions:
- Subclinical coeliac disease is more frequent in patients with autoimmune thyroid disorders.
- IgA-class antibody tests (gliadin, reticulin, endomysium) are effective screening tools when IgA deficiency is ruled out.
- Successful treatment was observed for both conditions.
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