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338763

Vitamin D Level in Graves’ Disease and Effect of Vitamin D Supplements on Associated Autoimmunity

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Last updated: 03 Jan 2025

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Abstract

Background: Graves' disease (GD) is the most frequent cause of hyperthyroidism. There is debate about the role of vitamin D deficiency (VDD) in thyroid autoimmunity and the effect of vitamin D (VD) administration on thyroid autoimmunity. Objective: This work aimed to study if vitamin D insufficiency (VDI) in patients with GD was linked to elevated thyroid autoantibody titer levels and how vitamin D supplementation affects Thyrotropin receptor antibody (TRAb), anti-thyroid peroxidase antibody (TPO Ab), and Anti-thyroglobulin antibody (anti Tg) titers in patients who have both VDI or VDD and GD. Patients and Methods: A total of 30 patients with GD and 30 matched control individuals were involved in our study. Serum from these patients and controls was tested for vitamin D (25[OH]D) and thyroid profile. Following evaluation, patients (n=16) with GD and insufficient or deficient vitamin D were given cholecalciferol. An evaluation was conducted six months after the vitamin D treatment. Results: Cases with GD were associated with a higher prevalence of VDI than the control group (P<0.001). VD values in Graves cases revealed a negative association with both TRAb (P<0.001) and age (P<0.001). The results of multivariate regression analysis indicated that the most significant predictors of Graves were TRAb (P=0.002), anti-TPO (P=0.006) and VDD (P=0.013). Conclusion: Low VD level is linked to elevated TRAb titers in GD, and the level of thyroid autoantibodies were decreased after Vitamin D administration, pointing to a potential connection between elevated thyroid autoimmunity in GD patients and their vitamin D levels.  

DOI

10.21608/ejhm.2024.338763

Keywords

vitamin D deficiency, Graves' disease, TRAb

Volume

94

Article Issue

1

Related Issue

45268

Issue Date

2024-01-01

Receive Date

2024-01-28

Publish Date

2024-01-01

Page Start

456

Page End

464

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_338763.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=338763

Order

68

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

Vitamin D Level in Graves’ Disease and Effect of Vitamin D Supplements on Associated Autoimmunity

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Type

Article

Created At

24 Dec 2024