Comparison of Autoimmune Thyroid Disease in Patients With Progressive and Stable Vitiligo

J Cutan Med Surg. 2016 Mar-Apr;20(2):135-8. doi: 10.1177/1203475415604551. Epub 2015 Aug 28.

Abstract

Background and objective: Activity of vitiligo has not been considered as a patient selection criteria in previous studies; we decided to compare the presence of elevated thyroid auto-antibodies in patients with progressive and stable vitiligo.

Methods: Seventy-two patients with vitiligo were examined for thyroid problems and were divided into 2 groups of stable and progressive vitiligo according to their history and physical examination. Anti-thyroid peroxidase antibodies (anti-TPO antibodies), thyroxine (T4), and thyroid stimulating hormone (TSH) levels were assessed for all patients.

Results: Elevated levels of anti-TPO antibodies were observed in 43.7% of the patients with stable vitiligo and in 37.5% of patients with progressive vitiligo, which was not statistically significant (P = .315).

Conclusion: This study not only confirmed thyroid dysfunction in patients with vitiligo but also showed that there was no difference in thyroid dysfunction and anti-TPO antibody levels in the subgroups of patients with stable or progressive vitiligo.

Keywords: autoimmune thyroid disorder; progressive vitiligo; stable vitiligo; thyroid autoantibodies.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Autoantibodies / immunology*
  • Autoantigens / immunology*
  • Case-Control Studies
  • Disease Progression
  • Female
  • Humans
  • Iodide Peroxidase / immunology*
  • Iron-Binding Proteins / immunology*
  • Male
  • Prospective Studies
  • Thyroiditis, Autoimmune / complications*
  • Thyroiditis, Autoimmune / diagnosis
  • Thyroiditis, Autoimmune / immunology
  • Thyrotropin / immunology
  • Vitiligo / complications*
  • Vitiligo / diagnosis
  • Vitiligo / immunology

Substances

  • Autoantibodies
  • Autoantigens
  • Iron-Binding Proteins
  • Thyrotropin
  • TPO protein, human
  • Iodide Peroxidase