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亚临床甲状腺功能减退症中的尿酸状态

Uric Acid Status in Subclinical Hypothyroidism.

作者信息

Kaur Premjeet, Suri Vijay

机构信息

Department of Biochemistry, Adesh Institute of Medical Sciences and Research, Bathinda, Punjab, India.

Dr Vijay Suri, Department of pathology, Adesh Institute of Medical Sciences and Research, Bathinda, Punjab, India.

出版信息

EJIFCC. 2024 Aug 8;35(2):83-90. eCollection 2024 Aug.

PMID:39247658
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11380146/
Abstract

Overt hypothyroidism is associated with high levels of serum uric acid (UA) however, the association between UA and thyroid function in patients with subclinical thyroid dysfunction remains unclear. Subclinical hypothyroidism (SCH) is a common endocrine disorder characterized by normal thyroxine (T4) and triiodothyronine (T3), and elevated thyroid stimulating hormone (TSH) levels, usually without clinical manifestations. Therefore, we carried out a study of patients with subclinical thyroid dysfunction to assess the relationship between thyroid function and UA. This lead us to review the literature to find to what extent subclinical hypothyroidism is associated with uric acid. This study adopts the method of retrospective analysis to collect general information and laboratory results aimed at assessing the correlation between uric acid and thyroid hormone levels. We searched 3 databases using different keywords. Literature search was done for articles published in the last ten years, between 2013-2023. All relevant studies were screened. A total of eighteen articles were finalized for the review. Some studies supported T3 supplementation resulting in SCH correction. Our study indicates that it is important to screen for serum uric acid levels routinely in patients with subclinical hypothyroidism.

摘要

显性甲状腺功能减退与血清尿酸(UA)水平升高有关,然而,亚临床甲状腺功能障碍患者中尿酸与甲状腺功能之间的关联仍不清楚。亚临床甲状腺功能减退(SCH)是一种常见的内分泌疾病,其特征是甲状腺素(T4)和三碘甲状腺原氨酸(T3)正常,而促甲状腺激素(TSH)水平升高,通常无临床表现。因此,我们对亚临床甲状腺功能障碍患者进行了一项研究,以评估甲状腺功能与尿酸之间的关系。这促使我们回顾文献,以了解亚临床甲状腺功能减退与尿酸的关联程度。本研究采用回顾性分析方法收集一般信息和实验室结果,旨在评估尿酸与甲状腺激素水平之间的相关性。我们使用不同的关键词搜索了3个数据库。对2013年至2023年过去十年间发表的文章进行了文献检索。对所有相关研究进行了筛选。最终确定了18篇文章进行综述。一些研究支持补充T3可纠正亚临床甲状腺功能减退。我们的研究表明,对亚临床甲状腺功能减退患者常规筛查血清尿酸水平很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a308/11380146/9f2fcaac76da/ejifcc-35-083-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a308/11380146/9f2fcaac76da/ejifcc-35-083-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a308/11380146/9f2fcaac76da/ejifcc-35-083-g001.jpg

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2
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本文引用的文献

1
The causal association between thyroid disease and gout: A Mendelian randomization study.甲状腺疾病与痛风之间的因果关联:一项孟德尔随机化研究。
Medicine (Baltimore). 2023 Nov 3;102(44):e35817. doi: 10.1097/MD.0000000000035817.
2
High Thyroid-Stimulating Hormone and Low Free Triiodothyronine Levels Are Associated with Chronic Kidney Disease in Three Population-Based Studies from Germany.在德国三项基于人群的研究中,促甲状腺激素水平升高和游离三碘甲状腺原氨酸水平降低与慢性肾脏病相关。
J Clin Med. 2023 Sep 4;12(17):5763. doi: 10.3390/jcm12175763.
3
The association between the thyroid feedback quantile-based index and serum uric acid in U.S. adults.
美国成年人中甲状腺反馈分位数指数与血清尿酸之间的关联。
Eur J Med Res. 2023 Jul 27;28(1):259. doi: 10.1186/s40001-023-01214-3.
4
Impaired sensitivity to thyroid hormones is associated with hyperuricemia in a Chinese euthyroid population.在中国的甲状腺功能正常人群中,对甲状腺激素敏感性降低与高尿酸血症有关。
Front Endocrinol (Lausanne). 2023 Apr 19;14:1132543. doi: 10.3389/fendo.2023.1132543. eCollection 2023.
5
Detection and Correlation Analysis of Serum Uric Acid in Patients with Thyroid-Associated Ophthalmopathy.甲状腺相关眼病患者血清尿酸的检测及相关性分析。
Comput Math Methods Med. 2022 Sep 27;2022:8406834. doi: 10.1155/2022/8406834. eCollection 2022.
6
The association of uric acid with the development of thyroid nodules: a retrospective cohort study.尿酸与甲状腺结节发展的相关性:一项回顾性队列研究。
BMC Endocr Disord. 2022 Aug 8;22(1):197. doi: 10.1186/s12902-022-01119-y.
7
Gender and Age-Specific Differences in the Association of Thyroid Function and Hyperuricemia in Chinese: A Cross-Sectional Study.中国甲状腺功能与高尿酸血症关联中的性别和年龄特异性差异:一项横断面研究
Int J Endocrinol. 2022 Jul 5;2022:2168039. doi: 10.1155/2022/2168039. eCollection 2022.
8
The Association with Subclinical Thyroid Dysfunction and Uric Acid.亚临床甲状腺功能障碍与尿酸的关联
Int J Endocrinol. 2021 Dec 13;2021:9720618. doi: 10.1155/2021/9720618. eCollection 2021.
9
Thyroid Feedback Quantile-based Index correlates strongly to renal function in euthyroid individuals.甲状腺反馈分位数指数与甲状腺功能正常个体的肾功能密切相关。
Ann Med. 2021 Dec;53(1):1945-1955. doi: 10.1080/07853890.2021.1993324.
10
The Relationship Between Metabolic Parameters, Age, and Thyroid Status: A Cross-Sectional Study-Based National Survey of Iodine Nutrition, Thyroid Disease.代谢参数、年龄与甲状腺状态之间的关系:基于横断面研究的全国碘营养与甲状腺疾病调查
Risk Manag Healthc Policy. 2021 Apr 23;14:1723-1730. doi: 10.2147/RMHP.S306122. eCollection 2021.