Affiliation:
1. Endocrinology, Bursa City Hospital, Bursa, Turkey
2. Endocrinology, Uludag University Faculty of Medicine, Bursa,
Turkey
3. Endocrinology, Medicana Health Group, Bursa, Turkey
Abstract
AbstractCeliac disease (CD) accompanying autoimmune endocrine diseases (AED) is generally
asymptomatic. This study aimed to evaluate the frequency of clinically overt or
silent CD in patients diagnosed with autoimmune endocrinopathy and the clinical
effects of silent CD in these endocrinopathies. The study included 166 patients
with known or newly diagnosed mono-/polyglandular AED and 90 age- and
gender-matched healthy controls. The patients were classified into four groups:
type 1 diabetes mellitus (DM) (n=44), Hashimoto’s thyroiditis
(HT) (n=68), Addison’s disease (AD) (n=17), and
autoimmune polyglandular syndrome (APS) (n=37). All subjects were
serologically screened for tissue transglutaminase antibody (tTG) IgA and IgG.
In addition, to evaluate the possible systemic consequences of CD, serum
parathormone (PTH), 25-hydroxicholecalsiferol (25-OH-Vit D), vitamin B12, folic
acid, iron, iron-binding capacity (IBC), and ferritin levels were measured. In
the total series, 193 (75.4%) individuals were females, and 63
(24.6%) were males. TTG IgA antibody positivity was found in 23 among
166 patients, while no positivity was encountered in the healthy control group.
The highest rates of positive tTg IgA frequency were detected in AD, with
29.4% (5/17). Serum 25-OH-Vit D, vitamin B12, folic acid, iron,
and ferritin levels were significantly lower in AEDs compared to controls
(p<0.001), and the lowest these parameters were detected in patients
with AD. The serologic CD prevalence is higher in autoimmune mono-/and
polyglandular endocrine diseases than in the control group. The data support
recommends regular screening for CD in all patients with AEDs.
Subject
Biochemistry (medical),Clinical Biochemistry,Endocrinology,Biochemistry,General Medicine,Endocrinology, Diabetes and Metabolism
Cited by
1 articles.
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