ISSN: 2706-8870
Volume 4, Number 5 (2019)
Year Launched: 2016

Autoimmune Thyroiditis Revealed by a Polyalgic Syndrome

Volume 4, Issue 5, October 2019     |     PP. 143-148      |     PDF (143 K)    |     Pub. Date: August 25, 2019
DOI:    243 Downloads     6084 Views  

Author(s)

Kawtar Nassar, Rheumatology Department, Ibn Rochd University Hospital-Hassan II University of Medicine and Pfarmacology, Casablanca, MAROC
Wafae Rachidi, Rheumatology Department, Ibn Rochd University Hospital-Hassan II University of Medicine and Pfarmacology, Casablanca, MAROC
Saadia Janani, Rheumatology Department, Ibn Rochd University Hospital-Hassan II University of Medicine and Pfarmacology, Casablanca, MAROC
Ouafa Mkinsi, Rheumatology Department, Ibn Rochd University Hospital-Hassan II University of Medicine and Pfarmacology, Casablanca, MAROC

Abstract
Autoimmune thyroid disease (AITD), also called chronic lymphocytic thyroiditis or Hashimoto thyroiditis, is an inflammatory thyroiditis that is characterized by thyroid lymphocytic infiltration. It's one of the commonest causes of hypothyroidism, that has been associated with several autoimmune diseases including rheumatologic syndromes and connectives tissue diseases and has long been known to have several manifestations particularly in association with hypothyroidism. However, in some cases, especially when thyroid function is normal, several arguments are in favor of autoimmunity mechanisms, or the presence of an overlap syndrome, rather than thyroid dysfunction. There is also considerable evidence that AITD is highly associated with polyalgic syndrome or fibromyalgia. We report a 53 years old a case, followed for bilateral symmetric chronic polyarthritis, seronegativ, non-distorting and non-destructive since 6 years, coupled with a seacca syndrome, and arthromyalgic revealing autoimmune thyroiditis.

Keywords
Autoimmune Thyroid Disease (AITD), Hashimoto Thyroiditis, Polyalgic Syndrome

Cite this paper
Kawtar Nassar, Wafae Rachidi, Saadia Janani, Ouafa Mkinsi, Autoimmune Thyroiditis Revealed by a Polyalgic Syndrome , SCIREA Journal of Clinical Medicine. Volume 4, Issue 5, October 2019 | PP. 143-148.

References

[ 1 ] Tagoe CE, Zezon A, Khattri S. Rheumatic manifestations of autoimmune thyroid disease: the other autoimmune disease. J Rheumatol. 2012 Jun; 39 (6):1125-9. Epub 2012 Apr 15.
[ 2 ] L. Punzi, C. Betterle. Chronic autoimmune thyroiditis and rheumatic manifestations. Revue du Rhumatisme 71 (2004) 555–564.
[ 3 ] Weetman AP, McGregor AM. Autoimmune thyroid disease: further developments in our understanding. Endocr Rev 1994; 15:788–830.
[ 4 ] Todd I, Pujol-Borrell R, Hammond LJ, Bottazzo GF, Feldmann M. Interferon-gamma induces HLA-DR expression by thyroid epithelium. Clin Exp Immunol 1985; 61:265–73.
[ 5 ] Bourgeois P, Bard H, Bourgeois-Droin Ch, Kahn MF. Mucinose papuleuse. Aspects dermatologiques et dysimmunitaires associés. Rev Rhum Mol osteoartic 1987; 54:109–12.
[ 6 ] Summers GD, Gorman WP. Bilateral adhesive capsulitis and Hashimoto’s thyroiditis. Br J Rheumatol 1989; 28:451–9.
[ 7 ] Punzi L, Avossa M, de Zambiasi P, Volpe A, Cesaro G, Schiavon F, et al. Maladie osseuse de Paget associée à une thyroidite autoimmune et à une chondrocalcinose articulaire. Rev Rhum 1994; 61:354–6.
[ 8 ] Punzi L, Sfriso P, Pianon M, Schiavon F, Ramonda R, Cozzi F, Todesco S. Clinical manifestations and outcome of polyarthralgia associated with chronic lymphocytic thyroiditis. Semin Arthritis Rheum. 2002 Aug; 32 (1):51-5.
[ 9 ] Golding DN. Rheumatism and the thyroid. J R Soc Med 1993; 86:130–2.
[ 10 ] Hunter T, Chalmers IM, Dube WJ, Schroeder ML. Episodic polyarthralgia associated with Hashimoto’s thyroiditis. Arthritis Rheum 1988; 31:303.
[ 11 ] Leriche NGH, Bell DA. Hashimoto’s thyroiditis and polyarthritis: a possible subset of seronegative polyarthritis. Ann Rheum Dis 1984; 43 (4) :594–8.
[ 12 ] Ban Y, Tomer Y. Susceptibility genes in thyroid autoimmunity. Clin Dev Immunol. 2005; 12 (1) :47–58.
[ 13 ] Weetman AP, Mc Gregor AM, Lazarus JH, Hall R. Thyroid antibodies are produced by thyroid derived lymphocytes. Clin Exp Immunol 1982; 48:196–200.
[ 14 ] Kroemer G, Martinez AC. Cytokines and autoimmune diseases. Clin Immunol Immunopathol 1991; 61:275–95.
[ 15 ] Kaplan G, Vinceneux Ph, Bourgeois P, Kahn MF. Syndrome de Gougerot-Sjögren, connectivites et pathologie autoimmune. Rev Rhum 1977; 44:471–8.
[ 16 ] Marquez A, Finol HJ, De Blanco MC, Adjounian H, Pulido-Mendez M. Skeletal muscle microvascular alterations in euthyroid and hypothyroid patients with autoimmune thyroid disease. J Submicrosc Cytol Pathol 2001; 33:425–32.