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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Autoimmune thyroid disease in Libyan children and young adults with type 1 diabetes mellitus
European Journal of Pediatrics, Volume 170, No. 8, Year 2011
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Description
Diabetes mellitus is a common autoimmune endocrine disorder associated with organ-specific autoantibodies which are frequently detected at the time of diagnosis. Some of these antibodies are specific to the pancreas (GAD, IA2, ICA) while others are related to different autoimmune diseases. Aim of the study: To define the prevalence of thyroid autoimmune disease in Libyan patients with type 1 diabetes mellitus (T1DM) since no similar studies have been performed in Libya. Materials and methods: Blood samples were collected from 218 patients with T1DM who are followed by the Pediatric Department, Tripoli Medical Center, Libya. All sera were analyzed in Italy (Laboratory of Immunopathology and Allergy, Udine). The patients were composed of 123 females (56.4%) and 95 males (43.6%), mean age 12.2±4.6 years (range 2.1-24.5 years), mean duration of diabetes 4.7±4.0 years (range 0.1-17.5 years). Sera were tested for anti-thyroperoxidase (TPO) and anti-thyroglobulin antibodies (TG). TSH and FT4 concentrations were measured in all subjects. GAD, IA-2 was also measured. Results: Of the diabetic children, 23.4% were positive for anti-microsomal peroxidase antibodies (TPO-Ab) and 7.8% for antithyroglobulin antibodies (TG-Ab); whereas 6.9% of the patients were positive for both TPO-Ab and TG-Ab. Of the T1DM patients who were positive for TPO-Ab, 66.6% were females. The majority (57%) of the patients who were positive for TPO had diabetes for longer than 5 years. Five patients (2.3%) had evidence of subclinical hypothyroidism whereas two patients (0.9%) had overt hypothyroidism. Two patients had subclinical hyperthyroidism and two (0.9%) had overt hyperthyroidism. Interestingly, 16.2% of patients were positive for both thyroid and pancreatic antibodies. Conclusions: The prevalence of autoimmune thyroid disease in type 1 diabetic patients is higher than in the general population. A routine screening strategy should be implemented with the determination of anti-thyroid antibodies and TSH in type 1 diabetic patients, particularly in girls, and in patients with diabetes of more than 5 years duration. Patients who have positive TPO antibodies may need the assessment of thyroid function at shorter intervals. © 2011 Springer-Verlag.
Authors & Co-Authors
Ghawil, Millad
Italy, Udine
Policlinico Universitario, Udine
Tonutti, Elio
Italy, Udine
Policlinico Universitario, Udine
Abusrewil, Sulieman
Libya, Tripoli
University of Tripoli
Visentini, Daniela
Italy, Udine
Policlinico Universitario, Udine
Hadeed, Ibtisam
Libya, Tripoli
University of Tripoli
Miotti, Valeria
Italy, Udine
Policlinico Universitario, Udine
Pecile, Paolo
Italy, Udine
Policlinico Universitario, Udine
Morgham, Amel
Libya, Tripoli
University of Tripoli
Tenore, Alfred
Italy, Udine
Policlinico Universitario, Udine
Statistics
Citations: 34
Authors: 9
Affiliations: 2
Identifiers
Doi:
10.1007/s00431-010-1386-1
ISSN:
03406199
e-ISSN:
14321076
Research Areas
Maternal And Child Health
Noncommunicable Diseases
Study Design
Cross Sectional Study
Study Locations
Libya
Participants Gender
Female