Skip to main content
Log in

An analysis of the prevalence of thyroid autoantibodies: thyroid peroxidase antibodies (ATA) and thyroglobulin antibodies (ATG) in children with newly diagnosed diabetes mellitus type 1 during 2000–2004 in the Upper Silesia region, Poland

  • Original Article
  • Published:
Acta Diabetologica Aims and scope Submit manuscript

Abstract

The aim of this study was to evaluate the prevalence of thyroid autoantibodies and clinical significance of thyroid autoimmunity in children with the diagnosis of diabetes mellitus type 1. The study group comprised 222 children all with newly diagnosed diabetes mellitus type 1 (122 boys) with a mean age 9.92 ± 4.5 years, who were admitted to a regional diabetes division in 2000–2004. Assessment of ATA and ATG were performed and two emerging groups—ATA/ATG (+) and ATA/ATG (−) were compared, including anthropometric data, HbA1C, plasma lipids, TSH, fT4. Positive antibodies titre was found in 27 (12.16%) of the children. Apart from older age in the antibody positive group (11.67 vs. 9.67 years, p < 0.05), there were no significant differences among these groups regarding other clinical and laboratory characteristics. Concluding, the presence of thyroid autoantibodies in 12.16% of subjects with newly diagnosed diabetes confirms the necessity of screening of all children, especially adolescents from the time of diagnosis of diabetes mellitus type 1 onwards. No association between existence of autoantibodies and the clinical status of a child at the presentation of diabetes was demonstrated by this study.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Jaeger C, Hatziagelaki E, Petzoldt R, Bretzel RG (2001) Comparative analysis of organ-specific autoantibodies and celiac disease-associated antibodies in type 1 diabetic patients, their first-degree relatives, and healthy control subjects. Diab Care 24:27–32

    Article  CAS  Google Scholar 

  2. Kordonouri O, Hartmann R, Deiss D, Wilms M, Gruters-Kieslich A (2005) Natural course of autoimmune thyroiditis in type 1 diabetes association with gender, age, diabetes duration, and puberty. Arch Dis Child 90:411–414

    Article  PubMed  CAS  Google Scholar 

  3. Umpierrez GE, Latif KA, Murphy MB, Lambeth HC, Stentz F, Bush A, Kitabchi AE (2003) Thyroid dysfunction in patients with type 1 diabetes: a longitudinal study. Diab Care 26:1181–1185

    Article  Google Scholar 

  4. Kordonouri O, Klinghammer A, Egbert BL (2002) Thyroid autoimmunity in children and adolescents with type 1 diabetes. Diab Care 25:1346–1350

    Article  Google Scholar 

  5. ISPAD (2007) ISPAD clinical practice consensus guidelines 2006–2007. Pediatr Diab 8:171–176

    Article  Google Scholar 

  6. Glastras SJ, Craig ME, Verge CF, Chan AK, Cusumano JM, Donaghue KC (2005) The role of autoimmunity at diagnosis of type 1 diabetes in the development of thyroid and celiac disease and microvascular complications. Diab Care 28:2170–2175

    Article  Google Scholar 

  7. Barker JM, Yu J, Yu L, Wang J, Miao D, Bao F, Hoffenberg E, Nelson JC, Gottlieb PA, Rewers M, Eisenbarth GS (2005) Autoantibody “subspecificity” in type 1 diabetes. Risk for organ-specific autoimmunity clusters in distinct groups. Diab Care 28:850–855

    Article  CAS  Google Scholar 

  8. Völzke H, Krohn U, Wallaschofski H (2007) The spectrum of thyroid disorders in adult type 1 diabetes mellitus. Diab Metab Res Rev 23:227–33

    Article  Google Scholar 

  9. Korpal-Szczyrska M, Dorant B, Birkholz D, Kamińska H, Myśliwiec M (2002) Thyroid autoantibodies in children with recently diagnosed insulin-dependent diabetes mellitus. Endokrynologia, Diabetologia i Choroby Przemiany Materii Wieku Rozwojowego 8:73–76

    PubMed  Google Scholar 

  10. Faesch S, Jennane F, Izembart J (2007) Thyroiditis and gluten intolerance: extrapancreatic auto-immune diseaes associated with type 1 diabetes. Arch Pediatr 14:24–30

    Article  PubMed  CAS  Google Scholar 

  11. Czerniawska E, Szalecki M, Piątkowska E, Młynarski W, Bodalski J, Lewiński A (2003) Prevalence of thyroid antibodies (TPO and ATG) at the onset of type 1 diabetes mellitus in children treated in two diabetes center in Lodz and Kielce. Med Wieku Rozwoj 7:224–227

    Google Scholar 

  12. Kalicka-Kasperczyk A, Dziatkowiak H, Bartnik-Mikuta A, Pituch-Noworolska A, Kasperczyk A, Nazim J, Sztefko K, Starzyk J (2002) Thyroid peroxidase antibodies and thyroid diseases in children and adolescents with newly diagnosed type 1 diabetes. Przegl Lek 59:509–513

    PubMed  Google Scholar 

  13. Hansen D, Bennedbaek FN, Hoier-Madsen M, Hegedus L, Jacobsen BB (2003) A prospective study of thyroid function, morphology and autoimmunity in young patients with type 1 diabetes. Eur J Endocrinol 148:245–245

    Article  PubMed  CAS  Google Scholar 

  14. Okten A, Akcay S, Cakir M (2006) Iodine status, thyroid function, thyroid volume and thyroid autoimmunity in patients with type 1 diabetes mellitus in an iodine-replete area. Diab Metab 32:323–329

    Article  CAS  Google Scholar 

  15. Gonzalez GC, Capel I, Rodriguez-Espinosa J, Mauricio D, de Leiva A, Perez A (2007) Thyroid autoimmunity at onset of type 1 diabetes as a predictor of thyroid dysfunction. Diab Care 30:1611–1612

    Article  CAS  Google Scholar 

Download references

Acknowledgments

The project was partially supported by Polish State Committee for Scientific Research (KBN), grant no. 3T11F 010 29.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to P. Jarosz-Chobot.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Machnica, L., Osior, A., Jarosz-Chobot, P. et al. An analysis of the prevalence of thyroid autoantibodies: thyroid peroxidase antibodies (ATA) and thyroglobulin antibodies (ATG) in children with newly diagnosed diabetes mellitus type 1 during 2000–2004 in the Upper Silesia region, Poland. Acta Diabetol 45, 37–40 (2008). https://doi.org/10.1007/s00592-007-0017-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00592-007-0017-4

Keywords

Navigation