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    Expert review of endocrinology & metabolism. 2014 Sep 18. doi: 10.1586/17446651.2014.960845
    Selenium status in patients with autoimmune and non-autoimmune thyroid diseases from four European countries.
    Krassas GE1,  Pontikides N2,  Tziomalos K3,  Tzotzas T4,  Zosin I5,  Vlad M6,  Luger A7,  Gessl A8,  Marculescu R9,  Toscano V10,  Morgante S11,  Papini E12,  Pirags V13,  Konrade I14,  Hybsier S15,  Hofmann PJ16,  Schomburg L17,  Köhrle J18
    Author information
    1a Department of Endocrinology, Diabetes and Metabolism, Panagia General Hospital, Tsimiski 92, 54622 Thessaloniki, Greece.
    2a Department of Endocrinology, Diabetes and Metabolism, Panagia General Hospital, Tsimiski 92, 54622 Thessaloniki, Greece.
    3a Department of Endocrinology, Diabetes and Metabolism, Panagia General Hospital, Tsimiski 92, 54622 Thessaloniki, Greece.
    4a Department of Endocrinology, Diabetes and Metabolism, Panagia General Hospital, Tsimiski 92, 54622 Thessaloniki, Greece.
    5b Clinic of Endocrinology, University of Medicine and Pharmacy Timisoara, Timosoara, Romania.
    6b Clinic of Endocrinology, University of Medicine and Pharmacy Timisoara, Timosoara, Romania.
    7c Department of Endocrinology and Metabolism, Medical University of Vienna, Vienna, Austria.
    8c Department of Endocrinology and Metabolism, Medical University of Vienna, Vienna, Austria.
    9d Clinical Institute of Laboratory Diagnostics, Medical University of Vienna, Vienna, Austria.
    10e Department of Medicine, Clinical and Molecular Endocrinology, La Sapienza University of Rome, Rome, Italy.
    11e Department of Medicine, Clinical and Molecular Endocrinology, La Sapienza University of Rome, Rome, Italy.
    12f Department of Endocrinology and Metabolism, Hospital Regina Apostolorum - Albano Laziale, Rome, Italy.
    13g Department of Endocrinology, Pauls Stradins Clinical University Hospital, Riga, Latvia.
    14h Department of Endocrinology, Riga East Clinical University Hospital, Riga, Latvia.
    15i Institute for Experimental Endocrinology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
    16i Institute for Experimental Endocrinology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
    17i Institute for Experimental Endocrinology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
    18i Institute for Experimental Endocrinology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
    Abstract

    CONTEXT: Selenium supplementation has been suggested for Hashimoto thyroiditis and Graves' ophthalmopathy. Objective, Design: Our aim is to measure selenium status (p-Se, p-SePP), urine iodine (UI) levels and urine iodine/creatinine ratio (UI/C) in different thyroid diseases (n = 416) from four European countries and to compare the results between patients with and without thyroid autoimmunity.

    RESULTS: p-Se and p-SePP showed positive correlation and did not correlate with UI/C. Also, these measurements were higher in patients from Italy in comparison with the other countries. Austria had the lowest UI/C ratios. Selenium deficiency exists in these four European countries. Selenium status was lower in patients with Hashimoto thyroiditis and Graves' disease in comparison with non-autoimmune thyroid disease patients and did not differ between autoimmune patients with or without thyroid peroxidase antibodies. The latter correlated positively with age.

    CONCLUSIONS: Our findings suggest that Se supplementation might have a beneficial effect in autoimmune thyroid patients.


    KEYWORDS: Graves’ disease, Hashimoto’s thyroiditis, non-autoimmune thyroid disease, plasma selenium, plasma selenoprotein P, selenium status, thyroid diseases, urine iodine

    Publikations ID: 30736204
    Quelle: öffnen
     
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