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Autoimmune thyroiditis in children and adolescents with type 1 diabetes.
Pediatr Endocrinol Diabetes Metab. 2011; 17(4):173-7.PE

Abstract

INTRODUCTION

In children and adolescents with type 1 diabetes coexist some other autoimmune diseases such as autoimmune thyroiditis, celiac disease, Addison's disease or others.

AIM OF THE STUDY

was to assess the incidence and risk factors for autoimmune thyroiditis in children and adolescents with type 1 diabetes at the moment of diagnosis.

MATERIAL AND METHODS

The study included 382 children, who in the years 2001 to 2010 were diagnosed with type 1 diabetes. The concentrations of antibodies against thyroid peroxidase (anti- TPO), TSH and FT4 were measured and thyroid ultrasound examinations were performed. Children who had not initially shown the presence of anti-TPO had the test repeated at yearly intervals for 2-8 years.

RESULTS

At the time of diagnosis of diabetes, elevated anti-TPO titres were found in 14.4% of patients, more often in girls than in boys, p<0.01. Children with a positive anti-TPO titre were on average older than those whose anti-TPO levels were within the normal range, p<0.05. The incidence of elevated titers of anti-TPO increased with age, 20,5% of children above 10 years old had positive anti-TPO, compared to 8.3% of children less than 10 years old, p <0.001. At the time of the onset of diabetes, hypothyroidism was diagnosed in 14.5% of children with elevated anti-TPO, and in 2.1% of the whole group. 4.5% of patients whose levels of anti-TPO were initially normal, within the next 1-8 years had positive antibody titers.

CONCLUSIONS

Due to the high incidence of the disease, it is necessary to carry out screenings for autoimmune thyroiditis in children with diabetes at the time of diagnosis and redo them in accordance with the recommendations.

Authors+Show Affiliations

The Third Department of Pediatrics (Endocrinology and Diabetology), Regional Children's Hospital, Kielce, Poland. epiatkowska@op.plNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22248776

Citation

Piątkowska, Ewa, and Mieczysław Szalecki. "Autoimmune Thyroiditis in Children and Adolescents With Type 1 Diabetes." Pediatric Endocrinology, Diabetes, and Metabolism, vol. 17, no. 4, 2011, pp. 173-7.
Piątkowska E, Szalecki M. Autoimmune thyroiditis in children and adolescents with type 1 diabetes. Pediatr Endocrinol Diabetes Metab. 2011;17(4):173-7.
Piątkowska, E., & Szalecki, M. (2011). Autoimmune thyroiditis in children and adolescents with type 1 diabetes. Pediatric Endocrinology, Diabetes, and Metabolism, 17(4), 173-7.
Piątkowska E, Szalecki M. Autoimmune Thyroiditis in Children and Adolescents With Type 1 Diabetes. Pediatr Endocrinol Diabetes Metab. 2011;17(4):173-7. PubMed PMID: 22248776.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Autoimmune thyroiditis in children and adolescents with type 1 diabetes. AU - Piątkowska,Ewa, AU - Szalecki,Mieczysław, PY - 2012/1/18/entrez PY - 2012/1/18/pubmed PY - 2012/4/18/medline SP - 173 EP - 7 JF - Pediatric endocrinology, diabetes, and metabolism JO - Pediatr Endocrinol Diabetes Metab VL - 17 IS - 4 N2 - INTRODUCTION: In children and adolescents with type 1 diabetes coexist some other autoimmune diseases such as autoimmune thyroiditis, celiac disease, Addison's disease or others. AIM OF THE STUDY: was to assess the incidence and risk factors for autoimmune thyroiditis in children and adolescents with type 1 diabetes at the moment of diagnosis. MATERIAL AND METHODS: The study included 382 children, who in the years 2001 to 2010 were diagnosed with type 1 diabetes. The concentrations of antibodies against thyroid peroxidase (anti- TPO), TSH and FT4 were measured and thyroid ultrasound examinations were performed. Children who had not initially shown the presence of anti-TPO had the test repeated at yearly intervals for 2-8 years. RESULTS: At the time of diagnosis of diabetes, elevated anti-TPO titres were found in 14.4% of patients, more often in girls than in boys, p<0.01. Children with a positive anti-TPO titre were on average older than those whose anti-TPO levels were within the normal range, p<0.05. The incidence of elevated titers of anti-TPO increased with age, 20,5% of children above 10 years old had positive anti-TPO, compared to 8.3% of children less than 10 years old, p <0.001. At the time of the onset of diabetes, hypothyroidism was diagnosed in 14.5% of children with elevated anti-TPO, and in 2.1% of the whole group. 4.5% of patients whose levels of anti-TPO were initially normal, within the next 1-8 years had positive antibody titers. CONCLUSIONS: Due to the high incidence of the disease, it is necessary to carry out screenings for autoimmune thyroiditis in children with diabetes at the time of diagnosis and redo them in accordance with the recommendations. SN - 2081-237X UR - https://www.unboundmedicine.com/medline/citation/22248776/Autoimmune_thyroiditis_in_children_and_adolescents_with_type_1_diabetes_ L2 - http://www.diseaseinfosearch.org/result/2236 DB - PRIME DP - Unbound Medicine ER -