[Clinical features of thyroid dysfunction in adult Japanese after allogeneic hematopoietic stem cell transplantation]

Rinsho Ketsueki. 2022;63(8):876-879. doi: 10.11406/rinketsu.63.876.
[Article in Japanese]

Abstract

We examined the incidence and clinical features of thyroid dysfunction in 661 patients who received allogeneic hematopoietic stem cell transplantation (allo-HSCT) in our hospital. At a median of 2.5 (1.0-11.3) years, 28 patients (4.2%) developed subclinical hypothyroidism, and 16 patients (2.4%) developed hypothyroidism. Eight of 16 patients (50%) with hypothyroidism were positive for anti-thyroid antibodies. Ten of 44 patients (22.7%) with thyroid dysfunction were discovered more than 5 years after allo-HSCT. Thyroid dysfunction with late onset was common in allo-HSCT recipients, and thyroid function should be monitored on a regular basis.

Keywords: Allogeneic hematopoietic stem cell transplantation; Chronic graft-versus-host disease; Thyroid dysfunction.

MeSH terms

  • Adult
  • Hematopoietic Stem Cell Transplantation* / adverse effects
  • Humans
  • Hypothyroidism* / epidemiology
  • Hypothyroidism* / etiology
  • Incidence
  • Japan / epidemiology
  • Retrospective Studies