Prevalence of-Thyroid Dysfunction in Systemic Lupus Erythematosus

dc.creatorAppenzeller, S
dc.creatorPallone, AT
dc.creatorNatalin, RA
dc.creatorCostallat, LTL
dc.date2009
dc.dateAPR
dc.date2014-11-14T23:31:43Z
dc.date2015-11-26T16:08:50Z
dc.date2014-11-14T23:31:43Z
dc.date2015-11-26T16:08:50Z
dc.date.accessioned2018-03-28T22:57:25Z
dc.date.available2018-03-28T22:57:25Z
dc.identifierJcr-journal Of Clinical Rheumatology. Lippincott Williams & Wilkins, v. 15, n. 3, n. 117, n. 119, 2009.
dc.identifier1076-1608
dc.identifierWOS:000265179700004
dc.identifier10.1097/RHU.0b013e31819dbe4c
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/70248
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/70248
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/70248
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1266465
dc.descriptionFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.descriptionConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.descriptionObjective: To report the prevalence and clinical relevance of autoimmune thyroid disease and thyroid antibodies in 524 patients with SLE. Methods: The medical charts of SLE patients followed in our rheumatology unit were reviewed to determine the prevalence and clinical associations of autoimmune thyroid disease. These findings were compared with the prevalence of autoimmune thyroid disease in 50 female adults. chi(2) tests and Fisher exact tests were used in the comparison of the groups for the categorical variables and Mann-Whitney U test for the continuous variables. Spearman rank correlation was used to identify an association between thyroid symptoms and disease activity. Results: Symptomatic autoimmune thyroid disease was observed in 32 of 524 (6.1%) SLE patients and in 1 of 50 controls (P > 0.05), predominantly hypothyroidism (28 SLE patients vs. in I control). Subclinical thyroid disease was identified in 60 (11.5%) and positive thyroid autoantibodies in the absence of thyroid disease in 89 of 524 (17%) SLE patients. Thyroid autoantibodies preceded the occurrence of clinical autoimmune thyroid disease in 70% of SLE patients. Sjogren syndrome (P = 0.001) and positive rheumatoid factor (P = 0.04) were more frequently observed in SLE patients with autoimmune thyroid disease when compared with SLE patients without autoimmune thyroid disease. Disease activity of the SLE was correlated with the presence of symptoms of hyperthyroidism (r = 0.4; P = 0.004). Conclusion: Our patients with SLE had a high prevalence of symptomatic and significantly more subclinical hypothyroidism and positive thyroid autoantibodies. Thyroid autoantibodies may precede the appearance of clinical autoimmune disease. Sjogren syndrome and positive rheumatoid factors were more frequently observed in SLE patients with autoimmune thyroid disease. We believe that, since symptoms of SLE and thyroid disease can be similar, that SLE patients should routinely been investigated for autoimmune thyroid disease.
dc.description15
dc.description3
dc.description117
dc.description119
dc.descriptionFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.descriptionConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.descriptionFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.descriptionConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.languageen
dc.publisherLippincott Williams & Wilkins
dc.publisherPhiladelphia
dc.publisherEUA
dc.relationJcr-journal Of Clinical Rheumatology
dc.relationJCR-J. Clin. Rheumatol.
dc.rightsfechado
dc.sourceWeb of Science
dc.subjectSLE
dc.subjectthyroid dysfunction
dc.subjectautoimmunity
dc.subjectSjogrens-syndrome
dc.subjectDisease-activity
dc.subjectDisorders
dc.subjectClassification
dc.subjectAssociation
dc.subjectCriteria
dc.subjectSle
dc.titlePrevalence of-Thyroid Dysfunction in Systemic Lupus Erythematosus
dc.typeArtículos de revistas


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