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Turan H, Yildiz M, Civan O, Cakir AD, Tarcin G, Ozer Y, Bayramli Z, Kucur M, Adaletli I, Adrovic A, Barut K, Ercan O, Kasapcopur O, Evliyaoglu SO. Evaluation of the thyroid disorders in children with familial Mediterranean fever. Clin Rheumatol 2020; 40:1473-1478. [PMID: 32996072 DOI: 10.1007/s10067-020-05430-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Revised: 09/19/2020] [Accepted: 09/24/2020] [Indexed: 01/31/2023]
Abstract
Although it is well-known that autoimmune thyroid diseases are more common in most of the autoimmune connective tissue diseases, the relationship between autoinflammatory diseases and autoimmune thyroid diseases has not well-evaluated yet and still remains unclear. The aim of this study was to investigate the frequency of autoimmune diseases of the thyroid gland and to evaluate thyroid function tests in children with familial Mediterranean fever. Thyroxine, thyroid-stimulating hormone, and thyroid autoimmune markers such as thyroid peroxidase and thyroglobulin antibodies, and thyroid ultrasound findings of 133 patients with familial Mediterranean fever and 70 healthy controls were evaluated. Serum levels of thyroid-stimulating hormone, free thyroxine, and thyroid autoimmunity markers were similar in patients with familial Mediterranean fever compared with healthy controls. There was no relationship between the duration of the disease and thyroid-stimulating hormone, free thyroxine, anti-thyroid peroxidase, and anti-thyroglobulin levels. This study revealed that incidence of thyroid dysfunction and autoimmunity is not increased in patients with familial Mediterranean fever. In conclusion, routine screening of serum thyroid function tests and thyroid antibody levels is not required in patients with familial Mediterranean fever in the absence of clinical symptoms or family history. Key Points • It is well-known that autoimmune thyroid diseases are common in autoimmune diseases. • The relationship between autoimmune thyroid diseases and autoinflammatory diseases like familial Mediterranean fever is still unclear. • In this study, we report the similar frequency of the autoinflammatory thyroid diseases in patients with familial Mediterranean fever and healthy controls. • A routine screening of serum thyroid function tests and thyroid antibody levels may not be required in patients with familial Mediterranean fever in the absence of clinical symptoms or family history.
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Affiliation(s)
- Hande Turan
- Department of Pediatric Endocrinology, Cerrahpasa Medical School, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Mehmet Yildiz
- Department of Pediatric Rheumatology, Cerrahpasa Medical School, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Orkun Civan
- Radiology Department, Cerrahpasa Medical School, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Aydilek Dagdeviren Cakir
- Department of Pediatric Endocrinology, Cerrahpasa Medical School, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Gurkan Tarcin
- Department of Pediatric Endocrinology, Cerrahpasa Medical School, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Yavuz Ozer
- Department of Pediatric Endocrinology, Cerrahpasa Medical School, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Zerengiz Bayramli
- Department of Pediatrics, Cerrahpasa Medical School, Istanbul University-Cerrahpaşa, Istanbul, Turkey
| | - Mine Kucur
- Department of Biochemistry, Cerrahpasa Medical School, Istanbul University-Cerrahpaşa, Istanbul, Turkey
| | - Ibrahim Adaletli
- Radiology Department, Cerrahpasa Medical School, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Amra Adrovic
- Department of Pediatric Rheumatology, Cerrahpasa Medical School, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Kenan Barut
- Department of Pediatric Rheumatology, Cerrahpasa Medical School, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Oya Ercan
- Department of Pediatric Endocrinology, Cerrahpasa Medical School, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Ozgur Kasapcopur
- Department of Pediatric Rheumatology, Cerrahpasa Medical School, Istanbul University-Cerrahpasa, Istanbul, Turkey.
| | - Saadet Olcay Evliyaoglu
- Department of Pediatric Endocrinology, Cerrahpasa Medical School, Istanbul University-Cerrahpasa, Istanbul, Turkey
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Yilmaz MÖ, Çelik MM, KelesÇ FÖ, Özcan O. Evaluation of the structure, autoimmunity, and functions of the thyroid gland in familial Mediterranean fever patients. ARCHIVES OF ENDOCRINOLOGY AND METABOLISM 2020; 64:66-70. [PMID: 32187261 PMCID: PMC10522287 DOI: 10.20945/2359-3997000000198] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2019] [Accepted: 08/23/2019] [Indexed: 11/23/2022]
Abstract
Objective Familial Mediterranean fever (FMF) is an autosomal recessive autoinflammatory disorder that is frequently seen in the eastern Mediterranean region. The thyroid gland can be affected in FMF patients through autoimmunity or amyloidosis. Here, we aimed to evaluate the structure and functions of the thyroid gland in addition to possible autoimmunity in FMF patients. Subjects and methods The study was conducted by the Endocrinology and Metabolism and Internal Medicine Departments. Thirty FMF patients and 30 age and gender-matched healthy controls were enrolled in the study. Free thyroxin (fT4), free triiodothyronine (fT3), thyroid-stimulating hormone (TSH), and anti-thyroid peroxidase (anti-TPO) autoantibodies were investigated. Detailed thyroid grayscale and Doppler Ultrasonography examinations and shear-wave elastosonography (SWE) were performed in the patient and control groups. Results Anti-TPO was detected in 24% (n = 7) of the patients. On the grayscale US, mean thyroid volumes were similar between the FMF and the control groups (p > 0.05). By Doppler US, thyroid vascularity observed was detected in 10.3% (n = 3) of the patients. SWE revealed that the mean velocity value of right vs. left lobe in the patient group was 1.77 ± 0.45 m/s and 1.95 ± 0.51 m/s, respectively. Compared to the control group, the mean velocity values were significantly higher in the right (p = 0.004) and left (p = 0.01) lobes of the patient group. The mean stiffness value in the patient group was also significantly higher in the right and left lobes [10.13 ± 5.65 kPa (p = 0.005) and 12.24 ± 6.17 kPa (p = 0.02), respectively]. Conclusion Recognizing the complications of FMF early in the course of the disease is as important as the early diagnosis of the disorder. Based on this, thyroid functions and changes in its structure should be evaluated carefully for early diagnosis of a possible coexisting thyroid disorder. Arch Endocrinol Metab. 2020;64(1):66-70.
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Affiliation(s)
- Müge Özsan Yilmaz
- Endocrinology and Metabolism DepartmentHatay Mustafa Kemal UniversityFaculty of MedicineHatayTurkeyEndocrinology and Metabolism Department, Hatay Mustafa Kemal University Faculty of Medicine, Hatay, Turkey
| | - Muhammet Murat Çelik
- Internal Medicine DepartmentHatay Mustafa Kemal UniversityFaculty of MedicineHatayTurkeyInternal Medicine Department, Hatay Mustafa Kemal University Faculty of Medicine, Hatay, Turkey
| | - Fatma Öztürk KelesÇ
- Radiology DepartmentHatay Mustafa Kemal UniversityFaculty of MedicineHatayTurkeyRadiology Department, Hatay Mustafa Kemal University Faculty of Medicine, Hatay, Turkey
| | - Oguzhan Özcan
- Biochemistry DepartmentHatay Mustafa Kemal UniversityFaculty of MedicineHatayTurkeyBiochemistry Department, Hatay Mustafa Kemal University Faculty of Medicine, Hatay, Turkey
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Anwar GM, Fouad HM, Abd El-Hamid A, Mahmoud F, Musa N, Lotfi H, Salah N. A study of familial Mediterranean Fever (MEFV) gene mutations in Egyptian children with type 1 diabetes mellitus. Eur J Med Genet 2015; 58:31-4. [DOI: 10.1016/j.ejmg.2014.10.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2014] [Accepted: 10/19/2014] [Indexed: 02/06/2023]
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Kilic A, Gulgun M, Tascilar ME, Sari E, Yokusoglu M. Cardiac Autonomic Regulation Is Disturbed in Children with Euthyroid Hashimoto Thyroiditis. TOHOKU J EXP MED 2012; 226:191-5. [PMID: 22343434 DOI: 10.1620/tjem.226.191] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- Ayhan Kilic
- Department of Pediatric Cardiology, Gulhane Medical Academy
| | - Mustafa Gulgun
- Department of Pediatric Cardiology, Gulhane Medical Academy
| | | | - Erkan Sari
- Department of Pediatric Endocrinology, Gulhane Medical Academy
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