自身免疫性甲状腺疾病。

ISRN endocrinology Pub Date : 2013-06-26 Print Date: 2013-01-01 DOI:10.1155/2013/509764
M A Iddah, B N Macharia
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引用次数: 72

摘要

审查的目的。自2005年1月以来,在自身免疫性甲状腺疾病领域发表了研究报告。综述分为病原学、自身免疫特征、自身抗体、甲状腺细胞损伤机制、b细胞反应和t细胞反应等领域。同时对自身免疫性甲状腺疾病、肿瘤和肾脏疾病的诊断和关系进行综述。最近的发现。据报道,生活在世界不同地区的人都患有自身免疫性甲状腺疾病,包括北美、欧洲、巴尔干半岛、亚洲、中东、南美和非洲,但报告的数字并不能完全反映每年感染的人数。由于诊断不准确,病例无法被识别,因此被当作其他疾病对待。然而,最近的研究表明,人类自身免疫性甲状腺疾病(AITDs)影响到总人口的5%,主要发生在30至50岁的女性中。总结。自身免疫性甲状腺疾病是遗传和环境因素复杂相互作用的结果。总之,这篇综述扩大了我们对AITD发病机制的理解,以及自身免疫性甲状腺疾病、肿瘤和肾脏疾病之间的关系。它开辟了新的研究路线,最终将导致更好的临床实践。
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Autoimmune thyroid disorders.

Purpose of Review. Studies have been published in the field of autoimmune thyroid diseases since January 2005. The review is organized into areas of etiology, autoimmune features, autoantibodies, mechanism of thyroid cell injury, B-cell responses, and T-cell responses. Also it reviews the diagnosis and the relationship between autoimmune thyroid disease, neoplasm, and kidney disorders. Recent Findings. Autoimmune thyroid diseases have been reported in people living in different parts of the world including North America, Europe, Baalkans, Asia, Middle East, South America, and Africa though the reported figures do not fully reflect the number of people infected per year. Cases are unrecognized due to inaccurate diagnosis and hence are treated as other diseases. However, the most recent studies have shown that the human autoimmune thyroid diseases (AITDs) affect up to 5% of the general population and are seen mostly in women between 30 and 50 years. Summary. Autoimmune thyroid disease is the result of a complex interaction between genetic and environmental factors. Overall, this review has expanded our understanding of the mechanism involved in pathogenesis of AITD and the relationship between autoimmune thyroid disease, neoplasm, and kidney disease. It has opened new lines of investigations that will ultimately result in a better clinical practice.

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