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印度北部近期发病的1型糖尿病(T1D)儿童中β细胞、甲状腺及腹腔自身免疫的患病率

Prevalence of Beta-Cell, Thyroid and Celiac Autoimmunity in North Indian Children with Recent Onset Type 1 Diabetes (T1D).

作者信息

Dayal Devi, Samprati Madhusudan, Kaur Navchetan, Minz Ranjana Walker, Jayaraman Dhaarani

机构信息

Additional Professor, Pediatric Endocrinology & Diabetes Unit, Department of Pediatrics, Postgraduate Institute of Medical Education and Research , Chandigarh, India .

Registrar, Department of Pediatrics, Postgraduate Institute of Medical Education and Research , Chandigarh, India .

出版信息

J Clin Diagn Res. 2015 Mar;9(3):SM01-2. doi: 10.7860/JCDR/2015/11960.5711. Epub 2015 Mar 1.

Abstract

There is wide variation in the prevalence of pancreatic and other major autoantibodies in different patient populations of Type 1 diabetes (T1D) across continents and even within countries. The data on frequency of associated autoimmunity Indian children with T1D is limited. A retrospective record review of 310 children aged 7.28±3.3 y (range 0.7-15 y) with recently diagnosed T1D attending our Pediatric Diabetes Clinic between April 2004 to September 2014, showed positivity for anti-GAD65, anti-IA2b, anti-TPO and anti-tTGA of 50% (64/128), 16% (12/72), 18.7% (23/123) and 22% (47/212) respectively. The male:female ratio in patients with anti-GAD, anti-TPO and anti-tTG positivity was 1.3, 0.7 and 0.6 respectively. In conclusion, our patient cohort exhibited a moderate prevalence of anti-GAD 65, low prevalence of anti-TPO and high prevalence of anti-tTGA autoantibodies as compared to previous reports. Male preponderance was noted in children with GAD65 positivity.

摘要

在各大洲甚至一个国家内,1型糖尿病(T1D)不同患者群体中胰腺及其他主要自身抗体的患病率存在很大差异。关于印度T1D儿童相关自身免疫频率的数据有限。对2004年4月至2014年9月期间在我们儿科糖尿病诊所就诊的310名最近诊断为T1D的儿童(年龄7.28±3.3岁,范围0.7 - 15岁)进行回顾性记录审查,结果显示抗GAD65、抗IA2b、抗TPO和抗tTGA的阳性率分别为50%(64/128)、16%(12/72)、18.7%(23/123)和22%(47/212)。抗GAD、抗TPO和抗tTG阳性患者的男女比例分别为1.3、0.7和0.6。总之,与先前报告相比,我们的患者队列中抗GAD 65的患病率中等,抗TPO的患病率低,抗tTGA自身抗体的患病率高。GAD65阳性的儿童中男性占优势。

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