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320239

Thyroid Disorders in Juvenile Idiopathic Arthritis Patients and Its Correlation with Disease Activity: A Cross-Sectional Study

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Last updated: 03 Jan 2025

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Abstract

Background: The association between juvenile idiopathic arthritis (JIA) and thyroid disorders has been defined in adults and, less frequently, in children. Objective: The study's goal was to assess thyroid function and the prevalence of thyroid antibodies in patients with juvenile idiopathic arthritis, as well as their relationship to disease activity. Methods: This cross-sectional study included 50 children and adolescents with juvenile idiopathic arthritis. All patients underwent thyroid function tests (thyroid stimulating hormone, free thyroxine, and free triiodothyronine), anti-thyroglobulin and anti-peroxidase antibodies by enzyme-linked immunosorbent assays. Results: The study showed that 52% of the patients were males and 48% were females. Their median age value was 9 years old. Thyroid abnormalities were detected in 52% of JIA patients. Overt hypothyroidism was the most prevalent disorder [14 patients (28%)], followed by subclinical hypothyroidism [11 patients (22%)], and then subclinical hyperthyroidism [1 patient (2%)], while 24 patients (48%) were euthyroid. Thyroid antibodies showed a normal level in all patients. On comparing thyroid function tests among patients with active and inactive JIA, no statistically significant difference was observed in thyroid hormone levels. Conclusion: To reduce the risk of delayed or undiagnosed thyroid diseases, it is necessary to routinely screen for thyroid function abnormalities in children with juvenile idiopathic arthritis.  

DOI

10.21608/ejhm.2023.320239

Keywords

Juvenile idiopathic arthritis, Thyroid autoantibodies, thyroid function, hypothyroidism

Volume

93

Article Issue

1

Related Issue

43798

Issue Date

2023-10-01

Receive Date

2023-10-06

Publish Date

2023-10-01

Page Start

7,002

Page End

7,008

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_320239.html

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https://ejhm.journals.ekb.eg/service?article_code=320239

Order

16

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Thyroid Disorders in Juvenile Idiopathic Arthritis Patients and Its Correlation with Disease Activity: A Cross-Sectional Study

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Article

Created At

24 Dec 2024