Adel Galal EL-SHEMİ, Adnan ALZANBAGI, Bassem REFAAT, Ahmed Mohammed ASHSHİ

Prevalence of thyroid disorders and the correlation of thyroid profile with liver enzymes, serum activin-A and follistatin during the treatment of patients with chronic hepatitis C genotype 1 and 4

Amaç: Kronik hepatit C (KHC) ve Peg-interferon- alfa (Peg-INF-?) serum aktivinleri ve follistatini düzenler ve tiroid hastalıkları (TH) ile birliktedir. Bu çalışmanın amacı KHC'nin indüklediği TH sıklığını belirlemek ve karaciğer hasarı, serum activin-A ve follistatin'in tiroid fonksiyonları ve tiroid otoantikorları ile ilişkisini araştırmaktır.Yöntemler: Bu çalışma kesitsel olup, 3 gruba ayrılan 132 KHC'li hastadan serumları alınmıştır: Tedavisiz 56 hasta, 24 haftalık Peg-INF-? tedavisi almış 30 hasta ve PegINF-? tedavisi tamamlanmış 46 hasta. Tiroid stimülan hormon (TSH), serbest tiroksin (FT4) ve tiroid otoantikorları, serum activin-A ve follistatin düzeyleri ELISA yöntemiyle ölçüldü.Bulgular: Hastaların %15'inde (n=20) tiroid hastalığı saptandı, bunların çoğunluğu (%80) otoimmün tiroidit olup, kadınlarda daha sık (%70) idi. TSH reseptör antikorları (TSHR-Abs), diğer antikorlardan anlamlı yüksek bulundu (p

Kronik hepatit C genotip 1 ve 4 hastaların tedavisi sırasında tiroid bozuklukları prevalansı ve tiroid profili ile karaciğer enzimleri, serum activin-A ve follistatin arasındaki ilişki

Objectives Chronic hepatitis C (CHC) and peg-interferon-? (Peg-INF-?) modulate serum activins and follistatin and are associated with thyroid disorders (TD).The aim of this study was to determine the frequency of CHC induced TD and to investigate the correlation of liver damage, serum activin-A and follistatin with the thyroid function parameters and thyroid autoantibodies. Methods: The study was cross-sectional and sera were obtained from 132 patients with CHC who were divided into 3 groups: 56 patients with no treatment, 30 after 24 weeks of Peg-INF-? and 46 at the end of 48 weeks Peg-INF-?. Thyroid stimulating hormone (TSH), free thyroxin (FT4), thyroid antibodies (Tabs), serum activin-A and follistatin levels were measured using ELISA. Results: Thyroid disorders were detected in 15% (n=20), more frequent in females (70%) and the majority were autoimmune thyroiditis (80%). TSH receptor antibodies (TSHRAbs) were significantly prevalent compared to the other antibodies (p

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