Vitamin D deficiency in thyroid autoimmune diseases

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Archive of clinical cases Pub Date : 2022-01-10 DOI:10.22551/2022.34.0901.10201
Ioana-Codruța Lebădă, R. Ristea, M. Metiu, M. Stanciu
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Abstract

Abstract The role of vitamin D in the human body is a complex one, proven by the many studies performed related to this aspect. Data from the literature on the correlation between vitamin D deficiency and thyroid autoimmune pathology, although present and increasing in the last 10 years, have failed to establish exactly whether or not there is a link between them. The aim of the study was to assess the status of vitamin D in patients with autoimmune thyroid disease; and to determine if there is a correlation between parameters such as: thyroid stimulating hormone (TSH), free thyroxine (FT4), ATPO; and vitamin D levels. Therefore, we performed a retrospective study in which we included 60 patients, 32 with autoimmune thyroid pathology and 28 patients with negative antithyroid antibodies. The average age of those in the case group was 58 years old and 52 years old for the control group. Female sex was predominant in both groups of patients, 97% in the study group and 71% in the control group. Vitamin D values in patients with thyroid autoimmune pathology in our study were on average higher than those obtained in the control group (patients with negative thyroid antibodies), without finding a statistically significant difference between the values of the two groups of patients (p = 0.197). The study shows a high prevalence of vitamin D deficiency in both groups of patients (with or without autoimmune thyroid disease), the highest rate being observed among patients without autoimmune pathology, but without a statistically significant difference between values.
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甲状腺自身免疫性疾病的维生素D缺乏
摘要维生素D在人体中的作用是复杂的,与此相关的许多研究证明了这一点。文献中关于维生素D缺乏与甲状腺自身免疫病理之间相关性的数据,尽管在过去10年中存在并增加,但未能确切确定它们之间是否存在联系。本研究的目的是评估自身免疫性甲状腺疾病患者的维生素D状况;并确定促甲状腺激素(TSH)、游离甲状腺素(FT4)、ATPO等参数之间是否存在相关性;以及维生素D水平。因此,我们进行了一项回顾性研究,包括60名患者、32名自身免疫性甲状腺病理患者和28名抗甲状腺抗体阴性患者。病例组的平均年龄为58岁,对照组为52岁。两组患者中女性占主导地位,研究组为97%,对照组为71%。在我们的研究中,甲状腺自身免疫性疾病患者的维生素D值平均高于对照组(甲状腺抗体阴性的患者),没有发现两组患者的值之间存在统计学上显著的差异(p=0.197)。研究表明,两组患者(有或没有自身免疫性甲状腺疾病)的维生素D缺乏率很高,在没有自身免疫病理的患者中观察到的比率最高,但值之间没有统计学上显著差异。
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