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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
10
pubmed:dateCreated
1986-1-9
pubmed:abstractText
In a cross-sectional study sera of 130 children and adolescents with insulin dependent (type I) diabetes were tested for the presence of cytoplasmatic islet cell antibodies (ICA), thyroid microsomal antibodies (TMA) as well as thyroid function (T3, T4, thyrotrophin). 102 of the patients were examined for thyroid enlargement, all patients with TMA were within this group. TMA were found in 15.4%, ICA in 38.5%, the latter decreasing with duration of diabetes. Of the TMA positive sera, 45% were also ICA positive, but only one child out of these was diabetic for more than 5 years. Thyroid enlargement occurred in 33.3%, however in TMA positive patients in 70%, of which one girl suffered from hypothyroidism due to biopsy-proven Hashimoto's thyroiditis, all the other diabetics being euthyroid. There was no sex predisposition. By HLA-typing 40% of TMA positive patients expressed the HLA-DR3 antigen which is said to be responsible for "autoimmune" diabetes, whereas only some of these were ICA positive as well. In our study, no significant association was found between presence or even persistence of ICA and TMA, nor between thyroid autoimmunity and HLA-DR3. Since type I diabetic patients with thyroid autoimmunity are predisposed to develop hypothyroidism with time, less likely also Addison's disease, screening of type I diabetics for thyroid microsomal antibodies should be considered especially in those with thyroid enlargement.
pubmed:language
ger
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0026-9298
pubmed:author
pubmed:issnType
Print
pubmed:volume
133
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
738-42
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:3906379-Adolescent, pubmed-meshheading:3906379-Adult, pubmed-meshheading:3906379-Autoantibodies, pubmed-meshheading:3906379-Autoimmune Diseases, pubmed-meshheading:3906379-Child, pubmed-meshheading:3906379-Child, Preschool, pubmed-meshheading:3906379-Diabetes Mellitus, Type 1, pubmed-meshheading:3906379-Female, pubmed-meshheading:3906379-HLA Antigens, pubmed-meshheading:3906379-HLA-DR3 Antigen, pubmed-meshheading:3906379-HLA-DR4 Antigen, pubmed-meshheading:3906379-Histocompatibility Antigens Class II, pubmed-meshheading:3906379-Humans, pubmed-meshheading:3906379-Hypothyroidism, pubmed-meshheading:3906379-Infant, pubmed-meshheading:3906379-Islets of Langerhans, pubmed-meshheading:3906379-Male, pubmed-meshheading:3906379-Microsomes, pubmed-meshheading:3906379-Phenotype, pubmed-meshheading:3906379-Thyroid Diseases, pubmed-meshheading:3906379-Thyroid Function Tests, pubmed-meshheading:3906379-Thyroid Gland, pubmed-meshheading:3906379-Thyroiditis, Autoimmune
pubmed:year
1985
pubmed:articleTitle
[Diabetes mellitus type I, thyroid gland autoimmunity, thyroid gland function and HLA status].
pubmed:publicationType
Journal Article, English Abstract