Kullavanijaya Prisana, Puavilai Gobchai, Puavilai Siripen, Chanprasertyothin Suwannee
Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 2002 Aug;85(8):901-6.
One hundred Thai patients with chronic idiopathic urticaria (CIU) were studied to determine the prevalence of thyroid antibodies in comparison to 100 age- and sex-matched healthy volunteers. It was found that 21 patients (21%) with CIU were positive for thyroid antibodies. Among normal volunteers, only nine cases (9%) had elevated titers of thyroid antibodies. The frequency of thyroid antibodies in the chronic urticaria group was significantly more common than the control group (chi-square = 4.75, p=0.03). Among 21 patients with CIU who were positive for thyroid antibodies, 9 cases were negative for thyroid antibodies when repeating the tests after 3 months. Only 12 patients still had persistent elevation of antibodies after 3 months and thyroid function test was performed in these 12 patients. It was found that 9 cases had autoimmune thyroiditis with euthyroidism. One case had subclinical hyperthyroidism. One case had autoimmune hyperthyroidism, One case had subclinical hypothyroidism.
对100例慢性特发性荨麻疹(CIU)泰国患者进行研究,以确定甲状腺抗体的患病率,并与100名年龄和性别匹配的健康志愿者进行比较。结果发现,21例(21%)CIU患者甲状腺抗体呈阳性。在正常志愿者中,只有9例(9%)甲状腺抗体滴度升高。慢性荨麻疹组甲状腺抗体的频率明显高于对照组(卡方检验=4.75,p=0.03)。在21例CIU甲状腺抗体呈阳性的患者中,3个月后重复检测时,9例甲状腺抗体呈阴性。3个月后只有12例患者抗体持续升高,并对这12例患者进行了甲状腺功能检查。结果发现,9例患有自身免疫性甲状腺炎伴甲状腺功能正常。1例患有亚临床甲状腺功能亢进。1例患有自身免疫性甲状腺功能亢进。1例患有亚临床甲状腺功能减退。