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KMJ-Kuwait Medical Journal. 2018; 50 (4): 442-446
em Inglês | IMEMR | ID: emr-201860

RESUMO

Objective: To investigate the prevalence of fibromyalgia [FM] among patients with Hashimoto's thyroiditis [HT] and association of thyroid antibodies with FM severity among affected individuals


Design: Cross-sectional


Setting: Two endocrinology outpatient clinics


Subjects: Euthyroid patients with HT were recruited


Intervention: Assessment for detection of fibromyalgia


Main outcome measure[s]: Prevalence of fibromyalgia and association with Hashimoto's thyroiditis. Diagnosis of FM was made using the 2010 American College of Rheumatology criteria. Serum concentrations of thyroid stimulating hormone [TSH] and anti-thyroid peroxidase [anti-TPO] antibodies were determined


Results: Average age of the patients was 38.5 years and 93.1% were female. Among the 102 patients, diagnosis of FM was made in five patients [prevalence rate, 95% CI: 4.9%, 0.7 - 9.1]. Age, sex, level of education, marital status, menopause status, duration of thyroid disease, TSH, and anti-TPO concentrations were comparable between patients with and without FM [p >0.05 in all tests]. Among patients with FM, the indices of FM severity [widespread pain index, and symptom severity] were not significantly correlated with wither TSH or anti-TPO concentrations


Conclusion: Despite previous reports suggesting an increased risk of FM in HT, among Iranian patients with HT, the prevalence of FM seems to be comparable with the prevalence reported in the female general population. A possible link between HT and FM needs further investigation in large population-based studies

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