Coeliac disease in Dutch patients with Hashimoto’s thyroiditis and vice versa

作     者：Muhammed Hadithi Hans de Boer Jos WR Meijer Frans Willekens Jo A Kerckhaert Roel Heijmans Amado Salvador Pea Coen DA Stehouwer Chris JJ Mulder 

作者机构：Department of Gastroenterology Rijnstate Hospital PO Box 9555 6800 TA Arnhem The Netherlands Department of Endocrinology Rijnstate Hospital PO Box 9555 6800 TA Arnhem The Netherlands Department of Pathology Rijnstate Hospital PO Box 9555 6800 TA Arnhem The Netherlands Laboratory of Biochemistry Rijnstate Hospital PO Box 9555 6800 TA Arnhem The Netherlands Laboratory of Biochemistry Immunology Rijnstate Hospital PO Box 9555 6800 TA Arnhem The Netherlands Laboratory of Immunogenetics VU University Medical Center Amsterdam PO Box 7057 1007 MB Amsterdam The Netherlands Department of Internal Medicine University Hospital Maastricht P. Debyelaan 25 6229 HX Maastricht The Netherlands 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2007年第13卷第11期

页      面：1715-1722页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Autoimmune disease Coeliac disease Hashimoto's thyroiditis 

摘      要：AIM: To define the association between Hashimoto’s thyroiditis and coeliac disease in Dutch patients. METHODS: A total of 104 consecutive patients with Hashimoto’s thyroiditis underwent coeliac serological tests (antigliadins, transglutaminase and endomysium antibodies) and HLA-DQ typing. Small intestinal biopsy was performed when any of coeliac serological tests was positive. On the other hand, 184 patients with coeliac disease were subjected to thyroid biochemical (thyroid stimulating hormone and free thyroxine) and thyroid serological tests (thyroglobulin and thyroid peroxidase antibodies). RESULTS: Of 104 patients with Hashimoto’s thyroiditis, sixteen (15%) were positive for coeliac serology and five patients with documented villous atrophy were diagnosed with coeliac disease (4.8%; 95% CI 0.7-8.9). HLA-DQ2 (and/or -DQ8) was present in all the five and 53 patients with Hashimoto’s thyroiditis (50%; 95% CI 43-62). Of 184 patients with coeliac disease, 39 (21%) were positive for thyroid serology. Based on thyroid biochemistry, the 39 patients were subclassified into euthyroidism in ten (5%; 95% CI 2-9), subclinicalhypothyroidism in seven (3.8%; 95% CI 1.8-7.6), and overt hypothyroidism (Hashimoto’s thyroiditis) in 22 (12%; 95% CI 8-16). Moreover, four patients with coeliac disease had Graves’ disease (2%; 95% CI 0.8-5) and one patient had post-partum thyroiditis. CONCLUSION: The data from a Dutch population confirm the association between Hashimoto’s thyroiditis and coeliac disease. Screening patients with Hashimoto’s thyroiditis for coeliac disease and vice versa is recom- mended.