Hashimoto tiroiditinin trombositler üzerine sayı, büyüklük ve dağılım açısından etkisi

Amaç: Çalışmamızın amacı, Hashimoto tiroiditi olan hastalarda trombosit endekslerinin etkilenip etkilenmediğiniaraştırmaktır.Yöntemler: HT'li 11 hasta (10 kadın, 1 erkek) ve kontrol grubu olarak seçilen nodüler guatrlı 26 kişi (19 kadın, 7erkek) çalışmaya dahil edildi. Tüm olguların tam kan sayımı parametreleri (lökosit sayısı, nötrofil sayısı ve yüzdesi,lenfosit sayısı ve yüzdesi, trombosit sayısı, trombosit yüzdesi, trombosit dağılım genişliği (PDW) ve ortalamatrombosit hacmi (MPV)) incelendi.Bulgular: Hasta grubunda lökosit sayısı, nötrofil sayısı ve yüzdesi, lenfosit yüzdesi, trombosit sayısı, platelet yüzdesive MPV değerleri kontrol grubundan istatistiksel olarak farklı değildi. Lenfosit sayısı ve PDW, HT'li hastalarda kontrolgrubuna göre anlamlı derecede yüksekti.Sonuç: Bulgularımız HT'li hastaların PDW düzeylerinin daha yüksek olduğunu göstermektedir. HT'de artmış PDW,hastalığın tanısı, takibi ve prognozu açısından anlamlı olabilir. 
Anahtar Kelimeler:

Tiroid, hashimoto, trombosit

The effect of Hashimoto's thyroiditis on platelets in terms of the their number, size, and distribution

Objective: The aim of our study was to investigate whether platelet indices were affected in patients with Hashimoto’s thyroiditis (HT). Method: 11 patients (10 female, 1 male) with HT and 26 subjects with nodular goiters (19 female, 7 male) selected as control group were included in the study. All cases were examined for complete blood count parameters (leukocyte count, neutrophil count and percentage, lymphocyte count and percentage, platelet count, plateletcrit, platelet distribution width (PDW), and mean platelet volume (MPV)). Results: Leukocyte count, neutrophil count and percentage, lymphocyte percentage, platelet count, plateletcrit, and MPV in the patient group were not statistically different from the control group. Lymphocyte count and PDW were significantly higher in patients with HT than in the control group. Conclusion: Our results suggest that patients with HT have higher PDW levels. Increased PDW in HT may be helpful in diagnosis, floow-up, and prognosis of the disease. 

___

  • 1. Lal G, Clark OH. Textbook of endocrine surgery. Philadelphia: Saunders; 2005.p.38–40.
  • 2. Kumar V, Robbins SL. Robbins basic pathology. Philadelphia, PA: Saunders/Elsevier; 2007:p.731–6.
  • 3. Ajjan RA, Weetman AP. The pathogenesis of Hashimoto's thyroiditis: further developments in our understanding. Horm Metab Res 2015; 47: 702-10.
  • 4. Effraimidis G, Wiersinga WM. Mechanisms in endocrinology: autoimmune thyroid disease: old and new players. Eur J Endocrinol 2014; 170: R241-52.
  • 5. Weetman AP. Cellular immune responses in autoimmune thyroid disease. Clin Endocrinol (Oxf) 2004; 61: 405-13.
  • 6. Volpe R. Suppressor T lymphocyte dysfunction is important in the pathogenesis of autoimmune thyroid disease: a perspective. Thyroid 1993; 3: 345-52.
  • 7. Thomas MR, Storey RF. The role of platelets in inflammation. Thromb Haemost 2015; 114: 449-58.
  • 8. Islamoğlu Y, Buyukkaya E, Kaya Z, et all. Effect of the hematological and biochemical parameters on outcomes of the patients with infective endocarditis. Dicle Med J. 2011; 38: 392-7.
  • 9. Kilic E, Rezvani A, Toprak AE, et all. Evaluation of Neutrophil to Lymphocyte and Platelet to Lymphocyte Ratios in Rheumatoid Arthritis. Dicle Med J. 2016; 43: 241-7.
  • 10. Guvendi B, Kara F, Binnetoglu K, et all. Comparison of platelet indices in papillary thyroid carcinoma and microcarcinoma. J Turgut Ozal Med Cent. 2018; 25: 122-4.
  • 11. Sit M, Kargi E, Aktas G, et all. Mean platelet volume should be a useful indicator in diagnosis of Hashimoto’s thyroiditis. Acta Medica Mediterranea 2014; 30: 1263- 6.
  • 12. Carlioglu A, Timur O, Durmaz SA, Ayhan ME. Mean platelet volume in euthyroid patients with Hashimoto's thyroiditis. Blood Coagul Fibrinolysis 2015; 26: 282-4.
  • 13. Savas E, Sahin AZ, Aksoy SN, et all. Serum levels of inflammatory markers in patients with thyroid dysfunction and their association with autoimmunity status. Int J Clin Exp Med 2016; 9: 4485-90.
  • 14. Gorbach SL, Bartlett JG, Blacklow NR. Infectious diseases. Philadelphia: Lippincott Williams & Wilkins; 2004: 159.
  • 15. Aktas G, Sit M, Dikbas O, et all. Could red cell distribution width be a marker in Hashimoto’s thyroiditis? Experimental and Clinical Endocrinology & Diabetes. 2014; 122: 572-4.
  • 16. Atile NS, Bilir BE, Bilir B, Guldiken S. Mean platelet volume levels in patients with overt hypothyroidism before and after levothyroxine treatment. Acta Endocrinologica (Buc), 2012; 8: 607-14.
  • 17. Bilge M, Adas M, Yesilova A, Helvaci A. Mean platelet volume (MPV) and platelet distribution width (PDW) in euthyroid woman with Hashimoto’s Thyroiditis. Endocrine Abstracts 2016; 41: EP968.
  • 18. Zhu C, Ma J, Liu Y, et all. Increased frequency of follicular helper T cells in patients with autoimmune thyroid disease. J Clin Endocrinol Metab 2012; 97: 943- 50.
  • 19. Spolski R, Leonard WJ. IL-21 and T follicular helper cells. Int Immunol 2010; 22: 7-12.
  • 20. El-Shenawy SZ, Hemi MH, Attia H. Serum levels of proinflammatory cytokines (interleukin 6 & interleukin 15) and adiponectin in Hashimoto’s thyroiditis with different thyroid function states. Journal of American Science 2011; 7: 1156-62.
  • 21. Rebuffat SA, Kammoun-Krichen M, Charfeddine I, et all. IL-1β and TSH disturb thyroid epithelium integrity in autoimmune thyroid diseases. Immunobiology 2013; 218: 285-91.
  • 22. Guan LJ, Wang X, Meng S, et all. Increased IL-21/IL21R expression and its proinflammatory effects in autoimmune thyroid disease. Cytokine 2015; 72: 160-5.
  • 23. Benbarche S, Strassel C, Angenieux C, et all. Dual role of IL-21 in megakaryopoiesis and platelet homeostasis. Haematologica 2017; 102: 637-46.
  • 24. Cortin V, Garnier A, Pineault N, et all. Efficient in vitro megakaryocyte maturation using cytokine cocktails optimized by statistical experimental design. Exp Hematol. 2005; 33: 1182–91.
  • 25. Fox JG, Barthold S, Davisson M, et all. The mouse in biomedical research: normative biology, husbandry, and models. Amsterdam: Academic Press, 2006: 156.
  • 26. Danese S, Motte Cd Cde L, Fiocchi C. Platelets in inflammatory bowel disease: clinical, pathogenic, and therapeutic implications. Am J Gastroenterol. 2004; 99: 938-45.
Dicle Tıp Dergisi-Cover
  • ISSN: 1300-2945
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1963
  • Yayıncı: Cahfer GÜLOĞLU
Sayıdaki Diğer Makaleler

Hemoglobinopati Prevelansı- Bir Üçüncü Basamak Merkez Deneyimi

Promil JAIN, Monika GUPTA, Shivani DUA, Nisha MARWAH, Meenu GILL, Rajeev SEN

Üçüncü basamak bir hastanede doğru inhaler kullanımı ve bunun tedaviye etkisi: Özgün Çalışma

Mehmet KABAK, Barış ÇİL, Mahşuk TAYLAN, Ayşe Füsun TOPÇU, Cengizhan SEZGİ

Determination of ANAE and AcP-ase Positivity in the Peripheral Blood of Pregnant Women with Hypothyroidism

Fatma ÇOLAKOĞLU, HASAN HÜSEYİN DÖNMEZ, Fatma KILIÇ

Spinal veya Genel Anestezi ile Yapılan Elektif Sezeryanlar ve Anestezi Verilmeyen Normal Doğumların Neonatal Sonuçlarının Karşılaştırılması

ELİF AĞAÇAYAK, Mustafa YAVUZ, SENEM YAMAN TUNÇ, Gamze AKIN, SABAHATTİN ERTUĞRUL, ZEYNEP BAYSAL YILDIRIM, TALİP GÜL

Olanzapine Bağlı Obsesif-Kompülsif Semptomlar Oluşan Bir Capgras Sendromu Olgusu

Betül UYAR EKMEN

Investigation of the Asp299Gly and Thr399Ile polymorphisms of TLR4 gene in Rheumatoid Arthritis

İBRAHİM HALİL YILDIRIM, Ramazan ÜZEN

Bir olgu sunumu: Topiramat Kullanımı Sonrası Akut Miyopi ve Açı Kapanması Glokom Krizi

Adar ASLAN, Kadir BİLGEN, Uğur KEKLİKÇİ

Polistemia Vera Olgularında Thiol-Disülfid Homeostasis

Şule Mine BAKANAY, Sema AKINCI, Fuad MUSTAFAYEV, Senem MARAL, Özcan EREL, Murat ALIŞIK, Aysun ŞENTÜRK YIKILMAZ, İmdat DİLEK

Kardiyopulmoner Baypass Sırasında Homosistein, Vitamin B12 ve Folik Asit Seviyelerinin Değişimi ve Birbirleri ile Olan İlişkilerinin İncelenmesi

Hatice Bilge AÇIK, Mehmet Salih AYDIN, Mustafa GÖZ, MAHMUT PADAK, REŞAT DİKME, ÖMER GÖÇ

The Proper use of Inhalers in a Third Step Hospital and its Effect on Treatment: Original Study

Barış ÇİL, Mehmet KABAK, Ayşe Füsun TOPÇU, Mahşuk TAYLAN, Cengizhan SEZGİ