Nakechand Pooran1, Pankaj Singh, Simmy Bank. 1. Division of Gastroenterology Albert Einstein College of Medicine - Long Island Jewish Medical Center, New Hyde Park, NY 11040, USA. simmybank@lij.edu
Abstract
AIM: To assess the role of thyroid disease as a risk for fractures in Crohn's patients. METHODS: A cross-sectional study was conducted from 1998 to 2000. The study group consisted of 210 patients with Crohn's disease. A group of 206 patients without inflammatory bowel disease served as controls. Primary outcome was thyroid disorder. Secondary outcomes included use of steroids, immunosuppressive medications, surgery and incidence of fracture. RESULTS: The prevalence of hyperthyroidism was similar in both groups. However, the prevalence of hypothyroidism was lower in Crohn's patients (3.8 % vs 8.2 %, P=0.05). Within the Crohn's group, the use of immunosuppressive agents (0 % vs 11 %), steroid usage (12.5 % vs 37 %), small bowel surgery (12.5 % vs 28 %) and large bowel surgery (12.5 % vs 27 %) were lower in the hypothyroid subset as compared to the euthyroid subset. Seven (3.4 %) Crohn's patients suffered fracture, all of whom were euthyroid. CONCLUSION: Thyroid disorder was not found to be associated with Crohn's disease and was not found to increase the risk for fractures. Therefore, screening for thyroid disease is not a necessary component in the management of Crohn's disease.
AIM: To assess the role of thyroid disease as a risk for fractures in Crohn's patients. METHODS: A cross-sectional study was conducted from 1998 to 2000. The study group consisted of 210 patients with Crohn's disease. A group of 206 patients without inflammatory bowel disease served as controls. Primary outcome was thyroid disorder. Secondary outcomes included use of steroids, immunosuppressive medications, surgery and incidence of fracture. RESULTS: The prevalence of hyperthyroidism was similar in both groups. However, the prevalence of hypothyroidism was lower in Crohn's patients (3.8 % vs 8.2 %, P=0.05). Within the Crohn's group, the use of immunosuppressive agents (0 % vs 11 %), steroid usage (12.5 % vs 37 %), small bowel surgery (12.5 % vs 28 %) and large bowel surgery (12.5 % vs 27 %) were lower in the hypothyroid subset as compared to the euthyroid subset. Seven (3.4 %) Crohn's patients suffered fracture, all of whom were euthyroid. CONCLUSION:Thyroid disorder was not found to be associated with Crohn's disease and was not found to increase the risk for fractures. Therefore, screening for thyroid disease is not a necessary component in the management of Crohn's disease.
Authors: J H Pinkney; S J Goodrick; J Katz; A B Johnson; S L Lightman; S W Coppack; V Mohamed-Ali Journal: Clin Endocrinol (Oxf) Date: 1998-11 Impact factor: 3.478
Authors: Aleksandra Furtak; Anna Maria Wedrychowicz; Malgorzata Sladek; Andrzej Wedrychowicz; Krzysztof Fyderek; Jerzy Starzyk Journal: Front Endocrinol (Lausanne) Date: 2020-09-15 Impact factor: 5.555