Prevalence of multiple forms of autoimmunity in Egyptian patients with Turner syndrome: relation to karyotype

J Pediatr Endocrinol Metab. 2013;26(5-6):545-50. doi: 10.1515/jpem-2012-0265.

Abstract

Our study aimed to investigate: the prevalence of autoantibodies related to organ-specific disease; the prevalence of some autoimmune diseases (AID) in Egyptian Turner syndrome (TS) patients; and the association of autoimmunity with patients' karyotypes. Eighty TS patients were subjected to history, auxological assessment and measurement of antithyroid peroxidase antibody (ATPOAb), antithyroglobulin antibody (ATGAb), anti-tissue transglutaminase IgA antibodies (ATTIgAAb), anti-glutamic acid decarboxylase-65 antibodies (GAD-65-Ab) and anti-adrenal cortex antibodies (AACAb). Of the 80 TS patients, 54 (67.5%) were seropositive for one or more autoantibodies. Thirty-five percent were positive for ATPOAb, 15% for ATGAb, 12.5% for ATTIgAAb, 3.75% for Anti-GAD-65Ab and 1.25% for AACAb. There was a non-significant association between the 45,X karyotype and overall prevalence of autoantibodies (p=0.20), while IsoXq was associated with increased prevalence of ATPOAb (p<0.01), ATGAb (p=0.01) and anti-GAD-65Ab (p=0.02). Thus, female TS patients face a high prevalence of autoimmunity and associated AID.

MeSH terms

  • Adolescent
  • Autoantibodies / blood*
  • Autoimmune Diseases / epidemiology*
  • Autoimmune Diseases / genetics*
  • Autoimmune Diseases / immunology
  • Child
  • Child, Preschool
  • Cross-Sectional Studies
  • Diabetes Mellitus, Type 1 / epidemiology
  • Diabetes Mellitus, Type 1 / genetics
  • Diabetes Mellitus, Type 1 / immunology
  • Egypt / epidemiology
  • Female
  • Humans
  • Hyperthyroidism / epidemiology
  • Hyperthyroidism / genetics
  • Hyperthyroidism / immunology
  • Hypothyroidism / epidemiology
  • Hypothyroidism / genetics
  • Hypothyroidism / immunology
  • Karyotyping
  • Male
  • Prevalence
  • Seroepidemiologic Studies
  • Turner Syndrome / epidemiology*
  • Turner Syndrome / genetics*
  • Turner Syndrome / immunology
  • Young Adult

Substances

  • Autoantibodies