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细小病毒B19感染与成人自身免疫性甲状腺疾病相关。

Parvovirus B19 Infection Is Associated with Autoimmune Thyroid Disease in Adults.

作者信息

Heidari Zahra, Jami Maede

机构信息

Department of Endocrinology and Metabolism, Zahedan University of Medical Sciences, Zahedan, Iran.

出版信息

Int J Endocrinol Metab. 2021 Sep 20;19(4):e115592. doi: 10.5812/ijem.115592. eCollection 2021 Oct.

Abstract

BACKGROUND

Autoimmune thyroid diseases are the most frequent autoimmune disorders, with a global prevalence of about 10%. Several mechanisms have been proposed to induce autoimmune thyroid responses by infectious agents. In this study, we aimed to evaluate the association between parvovirus B19 infection and autoimmune thyroid disorders.

METHODS

Adult patients with newly diagnosed Graves' disease (GD) and Hashimoto's thyroiditis (HT) and healthy euthyroid controls were recruited. Various clinical and biochemical parameters, including thyroid function tests and serum parvovirus B19 antibody level (IgG), were assessed and compared between the groups.

RESULTS

In this study, data from 404 cases with HT, 248 cases with GD, and 480 healthy individuals as a control group were analyzed. The prevalence of parvovirus B19 infection in patients with HT and GD and controls was 61.1%, 58.9%, and 47.1%, respectively. In the group of patients with HT, there was a significant positive correlation between the B19 IgG and TPOAb (r = 0.764, P < 0.001) and TgAb (r = 0.533, P < 0.001). Also, in patients with GD, the B19 IgG had a significant positive correlation with TPOAb (r = 0.779, P < 0.001) and TgAb (r = 0.467, P < 0.001).

CONCLUSIONS

Parvovirus B19 infection is commonly seen in patients with autoimmune thyroid disorders.

摘要

背景

自身免疫性甲状腺疾病是最常见的自身免疫性疾病,全球患病率约为10%。已经提出了几种机制来解释感染因子诱导自身免疫性甲状腺反应的过程。在本研究中,我们旨在评估细小病毒B19感染与自身免疫性甲状腺疾病之间的关联。

方法

招募新诊断的格雷夫斯病(GD)和桥本甲状腺炎(HT)成年患者以及健康的甲状腺功能正常对照者。评估并比较各组的各种临床和生化参数,包括甲状腺功能测试和血清细小病毒B19抗体水平(IgG)。

结果

在本研究中,分析了404例HT患者、248例GD患者和480名健康个体作为对照组的数据。HT患者、GD患者和对照组中细小病毒B19感染的患病率分别为61.1%、58.9%和47.1%。在HT患者组中,B19 IgG与TPOAb(r = 0.764,P < 0.001)和TgAb(r = 0.533,P < 0.001)之间存在显著正相关。此外,在GD患者中,B19 IgG与TPOAb(r = 0.779,P < 0.001)和TgAb(r = 0.467,P < 0.001)之间存在显著正相关。

结论

细小病毒B19感染在自身免疫性甲状腺疾病患者中很常见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70fc/8762377/5145bdfa44af/ijem-19-4-115592-i001.jpg

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