PREVALENCE OF HELICOBACTER PYLORI INFECTION AND GASTRITIS IN AUTOIMMUNE THYROID DISORDERS

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SOVEID M.; KAVIANI M.J.; SARI ASLANI F.; RAIS KARIMI A.

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Paper Information

Journal: JOURNAL OF MEDICAL RESEARCH (JMR) Year:2005 | Volume:3 | Issue:4 Page(s): 31-38

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Title

PREVALENCE OF HELICOBACTER PYLORI INFECTION AND GASTRITIS IN AUTOIMMUNE THYROID DISORDERS

Author(s)

SOVEID M. | KAVIANI M.J. | SARI ASLANI F. | RAIS KARIMI A. | Issue Writer Certificate

Keywords

AUTOIMMUNE THYROID DISEASEQ4

HELICOBACTER PYLORIQ3

GASTRITISQ3

GRAVES' DISEASEQ3

HYPOTHYROIDISMQ4

Abstract

Background: The thyroid and the stomach have many embryologic and structural similarities and are involved simultaneously in some disease processes. There have been few studies on the relationship between HELICOBACTER PYLORI GASTRITIS and AUTOIMMUNE THYROID DISEASEs (AITD). The objective of this study was to investigate the frequency of different types of GASTRITIS and Helicobacter infection among patients with AUTOIMMUNE THYROID DISEASEs. Patients and Methods: Ninety patients with AITD including 55 patients with GRAVES' DISEASE, 35 patients with autoimmune HYPOTHYROIDISM and 57 patients with functional dyspepsia (as the control group) underwent upper GI endoscopy followed by urease test and histological examination of multiple biopsy specimens from the gastric fundus and antrum. Results: The prevalence of H. pylori infection in the case and control groups was 92 and 90 percent, respectively and the difference was not statistically significant. The prevalence of fundal and antral GASTRITIS in the case as well as control groups had no significant difference, but the mean grade of antral inflammation and density of H. pylori in the fundus were higher in the AITD group (p=0.031 and p=0.045, respectively). Conclusion: There was no relationship between H. pylori infection per se and AITD, however, heavy infection (higher density of organism and higher degree of inflammation) was associated with AITD. Contrary to reports from western countries, predominant fundal GASTRITIS was not more prevalent in patients with AITD.

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