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[桥本甲状腺炎患儿维生素D缺乏症]

[Hypovitaminosis D in Children with Hashimoto’s Thyroiditis].

作者信息

Sönmezgöz Ergün, Ozer Samet, Yilmaz Resul, Önder Yalçın, Bütün Ilknur, Bilge Serap

出版信息

Rev Med Chil. 2016 May;144(5):611-6. doi: 10.4067/S0034-98872016000500009.

Abstract

BACKGROUND

Vitamin D deficiency or insufficiency may play a role in the pathogenesis of certain autoimmune diseases.

AIM

To measure vitamin D levels in children with Hashimoto’s thyroiditis (HT) (either with subclinical or marked hypothyroidism) and in healthy controls.

MATERIAL AND METHODS

We included 68 children with HT aged 12 ± 4 years (39 females) from a pediatric outpatient clinic and 68 healthy children aged 10 ± 4 years (37 females). Calcium metabolism parameters, thyroid function tests and anti-thyroid peroxidase (anti-TPO), anti-thyroglobulin (anti-TG) and 25 hydroxy vitamin D (25OHD) levels were measured.

RESULTS

Patients were older than controls but well matched by gender distribution. Mean 25OHD levels were significantly lower in HT patients than controls (16.8 ± 9.3 and 24.1 ± 9.4 ng/mL respectively, P < 0.01). Frequency of vitamin D deficiency was 76 and 35% in HT patients and controls, respectively (P < 0.001).

CONCLUSIONS

Vitamin D deficiency is more common in children with HT than healthy controls.

摘要

背景

维生素D缺乏或不足可能在某些自身免疫性疾病的发病机制中起作用。

目的

测定患有桥本甲状腺炎(HT)(亚临床或明显甲状腺功能减退)的儿童及健康对照儿童的维生素D水平。

材料与方法

我们纳入了来自儿科门诊的68名12±4岁的HT儿童(39名女性)和68名10±4岁的健康儿童(37名女性)。测量了钙代谢参数、甲状腺功能测试以及抗甲状腺过氧化物酶(抗-TPO)、抗甲状腺球蛋白(抗-TG)和25羟维生素D(25OHD)水平。

结果

患者年龄大于对照,但性别分布匹配。HT患者的平均25OHD水平显著低于对照(分别为16.8±9.3和24.1±9.4 ng/mL,P<0.01)。HT患者和对照中维生素D缺乏的频率分别为76%和35%(P<0.001)。

结论

HT儿童中维生素D缺乏比健康对照更常见。

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