自身免疫性甲状腺疾病和Sjögren病:由系统性自身免疫引发的特定器官疾病?
Atalay Dogru1, Fatma Gur Hatip1
1Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Süleyman Demirel University, Isparta 32260, Turkey.
Medicina (Kaunas, Lithuania)
|February 26, 2025
概括
自免疫甲状腺炎 (AT) 影响31%的Sjögren病 (SD) 患者,与抗核抗体 (ANA) 和抗SS-A阳性相关的更高率. 唾液腺中的淋巴细胞透也与SD患者的AT相关.
科学领域:
- 免疫学 免疫学 免疫学
- 类风湿病学 类风湿病学
- 内分泌学 在内分泌学.
背景情况:
- 自免疫性甲状腺疾病在Sjögren病 (SD) 患者中更为常见.
- SD和自身免疫性甲状腺疾病是不同的,但相关的自身免疫性疾病.
研究的目的:
- 为了确定SD患者自身免疫甲状腺炎 (AT) 的频率.
- 调查与SD中AT相关的自身抗体关系和临床特征.
主要方法:
- 追溯分析了525名SD患者的数据.
- 通过间接免疫光检测进行反核抗体 (ANA) 测试.
- 施尔默测试和小的唾液腺活检.
主要成果:
- 在167名 (31.8%) 患者中发现了自身免疫性甲状腺炎 (AT).
- 在AT组中观察到较高的ANA和抗SS-A阳性率 (p<0.001,p<0.002).
- 增加的ANA标位与发展AT的可能性更高相关,在2+,3+和4+时具有显著的奇数比率.
结论:
- 自免疫甲状腺炎 (AT) 在31%的Sjögren病 (SD) 患者中流行.
- ANA阳性,抗SS-A阳性和唾液腺的扩散性淋巴细胞透与SD中的AT有关.
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