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Revista Cubana de Endocrinología

On-line version ISSN 1561-2953

Abstract

PARLA SARDINAS, Judith et al. Clinical and environmental factors associated with Hashimoto's thyroiditis. Rev Cubana Endocrinol [online]. 2022, vol.33, n.1  Epub June 24, 2022. ISSN 1561-2953.

Introduction:

Hashimoto's thyroiditis is a polygenic and multifactorial autoimmune thyroid disease, resulting from a complex interaction of genetic and environmental factors.

Objective:

To determine the possible association of clinical and environmental factors with antithyroid antibody levels and thyroid function tests in HT.

Methods:

An observational, descriptive, cross-sectional study was carried out with 120 subjects diagnosed with Hashimoto's thyroiditis. We studied variables such as age, sex, skin color, nutritional status, parity, smoking, alcohol consumption, estrogen preparations, family history of autoimmune thyroid disease and personal history of other autoimmune diseases. Additionally, AbTPO, TSH, T3 and T4 antibody determinations were made.

Results:

Predominance of the female sex (92.5%), white skin (50.8%) and body overweight (40%). 73% did not consume estrogenic preparations. Twenty percent had family history of thyroid disease and personal history of type 1 diabetes mellitus (7.5%). The mean antibody in patients with history of viral infections was higher than those without this history (732.6 vs. 624.6). The rest of the variables did not show differences between the means of the antibody. None of the factors studied showed association with the state of thyroid function. (p > 0.05).

Conclusions:

There was no association between clinical and environmental factors in relation to Ac TPO levels and the state of thyroid function, with a predominance of overt hypothyroidism at diagnosis of HT.

Keywords : Hashimoto chronic thyroiditis; antithyroid antibodies; thyroid function.

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