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Thyroid dysfunction in primary Sjögren's syndrome: a long-term followup study.原发性干燥综合征中的甲状腺功能障碍：一项长期随访研究。
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自身免疫性甲状腺疾病与家族性系统性红斑狼疮继发干燥综合征的诊断相关。

Autoimmune thyroid disease is associated with a diagnosis of secondary Sjögren's syndrome in familial systemic lupus.

作者信息

Scofield R Hal, Bruner Gail R, Harley John B, Namjou Bahram

机构信息

Department of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.

出版信息

Ann Rheum Dis. 2007 Mar;66(3):410-3. doi: 10.1136/ard.2006.055103. Epub 2006 Sep 19.

DOI:10.1136/ard.2006.055103
PMID:16984944
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1856020/
Abstract

BACKGROUND

Autoimmune thyroid disease is common in systemic lupus erythematosus (SLE). About 20% of patients with SLE have secondary Sjögren's syndrome.

METHODS

Families with more than one patient with SLE were identified. All patients met the revised classification criteria, although SLE-unaffected relatives were confirmed not to satisfy these criteria. Diagnosis of autoimmune thyroid disease and Sjögren's syndrome was made on the basis of a review of medical records, interview and questionnaire administered to patients with SLE, and by a questionnaire administered to SLE-unaffected subjects.

RESULTS

Of a total of 1138 patients with SLE, 169 had a diagnosis of Sjögren's syndrome. Of these 50 (29.6%) patients also had autoimmune thyroid disease. Of the 939 patients with SLE with no diagnosis of Sjögren's syndrome, 119 (12.7%) had autoimmune thyroid disease (chi2 = 20.1, p = 0.000009). There was no association of a diagnosis of hypertension with secondary Sjögren's syndrome (42% vss 47%). Among 2291 SLE-unaffected relatives, 44 had diagnosed primary Sjögren's syndrome and 16 (36.3%) of these also had autoimmune thyroid disease. 265 of 2247 (11.8%) subjects had autoimmune thyroid disease but no Sjögren's syndrome (chi2 = 24.2, p<0.001).

CONCLUSIONS

Autoimmune thyroid disease is found in excess among patients with SLE with a diagnosis of secondary Sjögren's syndrome, as well as among their SLE-unaffected relatives with a diagnosis of primary Sjögren's syndrome.

摘要

背景

自身免疫性甲状腺疾病在系统性红斑狼疮（SLE）中很常见。约20%的SLE患者患有继发性干燥综合征。

方法

确定有不止一名SLE患者的家庭。所有患者均符合修订后的分类标准，尽管已证实未受SLE影响的亲属不符合这些标准。自身免疫性甲状腺疾病和干燥综合征的诊断基于对SLE患者的病历审查、访谈和问卷调查，以及对未受SLE影响的受试者进行的问卷调查。

结果

在总共1138例SLE患者中，169例被诊断为干燥综合征。其中50例（29.6%）患者也患有自身免疫性甲状腺疾病。在939例未诊断为干燥综合征的SLE患者中，119例（12.7%）患有自身免疫性甲状腺疾病（χ2 = 20.1，p = 0.000009）。高血压诊断与继发性干燥综合征无关联（42%对47%）。在2291名未受SLE影响的亲属中，44例被诊断为原发性干燥综合征，其中16例（36.3%）也患有自身免疫性甲状腺疾病。2247名受试者中有265例（11.8%）患有自身免疫性甲状腺疾病但无干燥综合征（χ2 = 24.2，p<0.001）。

结论

在诊断为继发性干燥综合征的SLE患者中，以及在诊断为原发性干燥综合征的未受SLE影响的亲属中，自身免疫性甲状腺疾病的发生率过高。