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自免疫甲状腺炎和青少年异常性关节炎的同时存在
Evdoxia Sapountzi1, Vasiliki-Rengina Tsinopoulou1, Eleni P Kotanidou1
12nd Department of Pediatrics, Aristotle University of Thessaloniki, AHEPA University General Hospital, Thessaloniki, GRC.
Cureus
|September 1, 2023
概括
自免疫性甲状腺炎在患有青少年异常性关节炎 (JIA) 的儿童中比一般人群更为常见. 建议对JIA患者进行甲状腺自身免疫的查.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 内分泌学 在内分泌学.
- 自免疫性疾病 自免疫性疾病
背景情况:
- 青春期异常性关节炎 (JIA) 与自身免疫性甲状腺疾病的风险较高有关.
- 以前的研究表明患病率增加,但希腊的数据缺乏.
研究的目的:
- 为了确定自身免疫性甲状腺炎 (哈西莫托甲状腺炎) 在希腊儿科患者的患病率.
- 在JIA管理中评估甲状腺自身免疫查的必要性.
主要方法:
- 在希腊塞萨洛尼基对130名JIA患者进行描述性研究.
- 根据国际风湿病学协会联盟的标准进行诊断.
- 检测甲状腺自身抗体和评估甲状腺功能.
主要成果:
- 16.9%的JIA患者具有甲状腺自身抗体,表明自身免疫性甲状腺炎.
- 2.3%的患者患有临床哈西莫托病.
- 大多数受影响的患者是甲状腺功能良好的人,但13.6%有明显的甲状腺功能低下症.
结论:
- 与一般人群相比,这种JIA队列中自身免疫甲状腺炎的患病率较高.
- 甲状腺自身免疫性查应该是JIA儿童的常规检查的一部分.
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