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白癜风与甲状腺疾病关联的最新进展:一项系统综述

Updates on the Association Between Vitiligo and Thyroid Diseases: A Systematic Review.

作者信息

Abuhalimeh Riyad M, Alshmrani Layan Saeed, Abdullah Nourah, Alqahtani Assem Mubarak H, AlQarni Sereen Dhafer, Aljuaid Mohannad Muaid, Alghuyaythat Waleed Khalid Z, Alkahtani Saud Sheher Mohammed, Aljawi Afnan F, Alsaadi Ghena Mahir Abdulrahman

机构信息

Department of Dermatology, Saudi Ministry of Health, Arar, SAU.

College of Medicine, King Khalid University, Abha, SAU.

出版信息

Cureus. 2024 Sep 19;16(9):e69697. doi: 10.7759/cureus.69697. eCollection 2024 Sep.

Abstract

The main objective of this study is to estimate the prevalence of thyroid diseases in patients with vitiligo and investigate the potential shared autoimmune mechanisms underlying the co-occurrence of vitiligo and thyroid diseases. To locate research that met the inclusion criteria, a thorough computerized search of relevant databases was carried out. A comprehensive search was carried out on PubMed, SCOPUS, Science Direct, and Web of Science to locate relevant material. Our data included 13 trials with 82,230 participants, and 40,116 (48.8%) of them were males. The prevalence of thyroid disorders ranged from 3.2% to 32.1%, with a total prevalence of 2,906 (3.5%). Vitiligo patients are more likely to have a number of immunological comorbidities, underscoring the serious effects of the illness on overall health, especially thyroid disorders. The correlation between vitiligo and positive thyroid peroxidase antibodies, hypothyroidism, and autoimmune thyroiditis is notably high. We found a strong association between vitiligo and the incidence of thyroid disorders, particularly autoimmune thyroid disorders. The findings emphasize the necessity of identifying and treating thyroid dysfunction in vitiligo patients, as it might affect the clinical course of the skin condition and overall patient health. Future research is required to standardize study methodology, investigate underlying mechanisms, and create integrated therapy and screening regimens.

摘要

本研究的主要目的是估计白癜风患者中甲状腺疾病的患病率,并探究白癜风与甲状腺疾病共存背后潜在的共同自身免疫机制。为了找到符合纳入标准的研究,我们对相关数据库进行了全面的计算机检索。在PubMed、SCOPUS、Science Direct和Web of Science上进行了全面搜索以查找相关资料。我们的数据包括13项试验,共82,230名参与者,其中40,116名(48.8%)为男性。甲状腺疾病的患病率在3.2%至32.1%之间,总患病率为2,906例(3.5%)。白癜风患者更有可能患有多种免疫合并症,这突出了该疾病对整体健康,尤其是甲状腺疾病的严重影响。白癜风与甲状腺过氧化物酶抗体阳性、甲状腺功能减退和自身免疫性甲状腺炎之间的相关性尤为显著。我们发现白癜风与甲状腺疾病,尤其是自身免疫性甲状腺疾病的发病率之间存在密切关联。研究结果强调了在白癜风患者中识别和治疗甲状腺功能障碍的必要性,因为这可能会影响皮肤病的临床进程和患者的整体健康。未来的研究需要规范研究方法,探究潜在机制,并制定综合治疗和筛查方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85cc/11490285/58e8207f2dc1/cureus-0016-00000069697-i01.jpg

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