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甲状腺功能减退会增加软骨钙质沉着症的患病率吗?

Does hypothyroidism increase the prevalence of chondrocalcinosis?

作者信息

Job-Deslandre C, Menkes C J, Guinot M, Luton J P

机构信息

Service Rhumatologie A, Hôpital Cochin, Paris, France.

出版信息

Br J Rheumatol. 1993 Mar;32(3):197-8. doi: 10.1093/rheumatology/32.3.197.

Abstract

To investigate whether or not there is an association between hypothyroidism (HPT) and chondrocalcinosis (CC) 100 HPT patients and 100 controls matched for the age and sex were evaluated prospectively. All the patients were examined clinically, and X-rays of knees, wrists and pelvis, and biological evaluation of thyroid hormones, calcium, uric acid, iron and alkaline phosphatase levels were recorded. X-rays were assessed independently by two radiologists blind to the thyroid status of the patient. The prevalence of CC was 17% in the HPT patients and 10% in the controls (NS). No correlation was found between CC duration and mechanism or treatment of HPT. We suggest that HPT and CC are two diseases that may co-exist in patients but without any causal or mechanistic relationship.

摘要

为了研究甲状腺功能减退症(HPT)与软骨钙质沉着症(CC)之间是否存在关联,我们对100例HPT患者和100例年龄及性别相匹配的对照者进行了前瞻性评估。所有患者均接受临床检查,并记录了膝盖、手腕和骨盆的X线检查结果,以及甲状腺激素、钙、尿酸、铁和碱性磷酸酶水平的生物学评估结果。由两位对患者甲状腺状况不知情的放射科医生独立评估X线片。HPT患者中CC的患病率为17%,对照组为10%(无统计学意义)。未发现CC病程与HPT的机制或治疗之间存在相关性。我们认为,HPT和CC是两种可能在患者中共存但无任何因果或机制关系的疾病。

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