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在患有自身免疫性肝炎的儿童中,自身免疫性甲状腺炎的发病率
Engy Adel Mogahed1, Hend M Soliman1, Dalia Saber Morgan2
1Department of Pediatrics, New Children Hospital, Cairo University, Cairo, Egypt.
Italian journal of pediatrics
|April 17, 2024
概括
埃及儿童的自身免疫性肝炎 (AIH) 经常与其他自身免疫性疾病同时发生. 自免疫性甲状腺炎是最常见的,需要儿童AIH患者定期查.
科学领域:
- 儿童自身免疫性疾病
- 肝病学 肝病学是一种肝病学.
- 内分泌学 在内分泌学.
背景情况:
- 自身免疫性肝炎 (AIH) 是一种特定器官的自身免疫性疾病.
- 患有AIH的患者经常出现肝外自身免疫性疾病.
- 自身免疫性甲状腺疾病 (ATD) 是AIH患者中最常见的肝外自身免疫性疾病.
研究的目的:
- 确定在被诊断为AIH的埃及儿童中自身免疫甲状腺疾病 (ATD) 的频率.
主要方法:
- 一项横截面研究涉及58名患有AIH的儿童 (年龄≤18岁).
- 分析了甲状腺功能测试 (FT3,FT4,TSH) 和自身抗体 (抗TPO,抗TG).
- 甲状腺超声波和扫描用于异常或边界甲状腺特征和阳性自身抗体.
主要成果:
- 患者的平均年龄为11.3±4.5岁.
- 48.3%的AIH患者有相关的自身免疫性疾病.
- 自免疫性甲状腺炎是最常见的并发症 (17.2%),其中60%为甲状腺功能减退症,30%为亚临床性甲状腺功能减退症,10%为甲状腺功能过高症.
结论:
- 埃及儿童的AIH通常与其他自身免疫性疾病有关.
- 自身免疫性甲状腺炎是儿科AIH中最常见的并发症.
- 在患有AIH的儿童中,定期对自身免疫性甲状腺炎进行查至关重要,因为AIH往往是无症状的.
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