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Re:Thyroid and RA

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From a Medline search:

Title

[Frequency of autoimmune diseases in 218 patients with autoimmune thyroid

pathologies]

Author

Gaches F; Delaire L; Nadalon S; Loustaud-Ratti V; Vidal E

Address

Service de m´edecine interne, h^opital ph-Ducuing, Toulouse, France.

Source

Rev Med Interne, 19(3):173-9 1998 Mar

Abstract

PURPOSE: The aim of our study was to investigate the frequency of auto-immune

diseases in patients suffering from autoimmune thyroid diseases. METHOD: We

realised a retrospective study from 1981 to 1993 including 218 patients

suffering from thyroiditis who were followed in the same hospital service. There

were 202 women and 16 men with a mean age 49 at the moment their thyroid

pathology was discovered. RESULTS: Thirty patients had one or more autoimmune

disease associated to their thyroid disorders, representing 13.7% of total

patients. The two most frequent autoimmune diseases were lupus and Sj¨ogren's

syndrome. In 17 cases the diagnosis of the associated autoimmune disease was

made simultaneously. The systemic disease preceded with an 8-year delay the

thyroid disease in five cases, and the thyroid disease was annunciatory in eight

cases with a delay of 5 years. The frequency of autoimmune diseases seems to be

higher in patients suffering from thyroid disorders than in the general

population. They are probably common physiopathological mechanisms. CONCLUSION:

The frequency of these associations suggests the need for a long-lasting survey

of those patients having thyroid disorders. Initial evaluation and a regular

checking in patients suffering from an autoimmune disease is recommenced.

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Hi Babs,

I could not stand the needle biopsy, it hurt bad and was negative. That

doctor

wanted to put me under anesthesia and do a big biopsy, I sought out

another

doctor fast. The new doctor, stated that if I had to go under surgery,

it was

better to remove that side of my thyroid that contained the goiter. I

had cold

spots and no iodine uptake, so the chances for cancer was greater.

Taking armour

(just like synthroid, but more natural, used in the 40's) shrunk the

goiter, but

not nearly enough. My goiter was very large, partly down in my chest

cavity, but

flat. I was having trouble swallowing, the first symptom. I really

liked the

new doctor, because he looked at me as a whole person and explained

everything,

the other guy told me he did not have the time. The new doc was great

and worked

with my RA to make me the most comfortable with my RA for surgery. I

was glad I

looked around for someone better, that I could trust. Anyway, that is

my story

in a nutshell. Of course you have a different problem and I wish you

luck with it.

Theresa B.

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