Vitamin D supplementation in patients with Hashimoto’s disease

Amelia Kasprzak, Aleksandra Mańkowska, Monika Truchta, Agata Kolano, Wiktoria Jabłońska, Marta Wardęszkiewicz, Szymon Markowiak, Maciej Świercz, Anna Pejas
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Abstract

Introduction : Hashimoto’s thyroiditis (HT) is the most common autoimmune disease and the leading cause of hypothyroidism in the world. The condition results in damage to the thyroid gland, brought about by the infiltration of lymphocytes. For the majority of individuals with Hashimoto's thyroiditis, a lifelong requirement for levothyroxine substitution is required. The potential contribution of diet and supplements to the management of HT is frequently overlooked. Low vitamin D levels are said to play a significant role in occurrence and severity of autoimmune thyroiditis. Currently, there is a continuing discussion regarding the optimal plasma concentration of 25-hydroxyvitamin D necessary for preventing or treating autoimmune diseases.   Aim of the study : The purpose of this literature review is to evaluate the influence of vitamin D supplementation on the course of Hashimoto’s thyroiditis in the light of most up to date research.   Materials and methods. This article is a review of publications obtained from the PubMed database, published between 2017-2023, based on the keywords "Hashimoto thyroiditis" "vitamin D" and "autoimmune thyroid disease".   Conclusions. The correlation of vitamin D supplementation and Hashimoto’s disease still remains unclear due to conflicting results from numerous studies. Further research is necessary to accurately determine the effect of vitamin D supplementation on Hashimoto’s thyroiditis.
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桥本氏病患者补充维生素 D
导言:桥本氏甲状腺炎(HT)是世界上最常见的自身免疫性疾病,也是导致甲状腺功能减退的主要原因。淋巴细胞的浸润导致甲状腺受损。对于大多数桥本氏甲状腺炎患者来说,需要终身服用左甲状腺素替代品。饮食和补充剂对治疗桥本氏甲状腺炎的潜在作用常常被忽视。据说,维生素 D 水平过低在自身免疫性甲状腺炎的发生和严重程度中起着重要作用。目前,关于预防或治疗自身免疫性疾病所需的 25- 羟基维生素 D 的最佳血浆浓度的讨论仍在继续。 研究目的:本文献综述旨在根据最新研究结果,评估补充维生素 D 对桥本氏甲状腺炎病程的影响。 材料和方法。本文以 "桥本氏甲状腺炎""维生素 D "和 "自身免疫性甲状腺疾病 "为关键词,对从 PubMed 数据库中获取的 2017-2023 年间发表的文献进行了综述。 结论是由于众多研究结果相互矛盾,维生素D补充剂与桥本氏病的相关性仍不明确。要准确确定补充维生素D对桥本氏甲状腺炎的影响,还需要进一步的研究。
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