Frequency of Thyroid Disorders in Rheumatoid Arthritis Patients and its Association with Disease Activity: A Hospital Based Study

Objective: To establish the frequency of thyroid disorders among Rheumatoid Arthritis patients and its association with disease severity measured by DAS28-ESR. Study Design: Prospective longitudinal study. Place and Duration of Study: Department of Rheumatology, Federal Government Policlinic...

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Bibliographic Details
Main Authors: Safina Hameed Qureshi, Syed Fahd Shah, Taqdees Khaliq, Sania Hameed Qureshi, Aisha Hameed Qureshi, Syed Hassan Shafqat
Format: Article
Language:English
Published: Army Medical College Rawalpindi 2023-06-01
Series:Pakistan Armed Forces Medical Journal
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Online Access:https://www.pafmj.org/index.php/PAFMJ/article/view/8033
Description
Summary:Objective: To establish the frequency of thyroid disorders among Rheumatoid Arthritis patients and its association with disease severity measured by DAS28-ESR. Study Design: Prospective longitudinal study. Place and Duration of Study: Department of Rheumatology, Federal Government Policlinic Hospital, Islamabad Pakistan, from Jan to Jun 2021. Methodology: The study included 87 consecutive patients either gender with Rheumatoid Arthritis visiting Rheumatology OPD. Thyroid profile and DAS28-ESR were performed in all the patients. Results: Out of 87 patients, 73(83.9%) were females, and 14(16.1%) were males. The mean age was 45.54±13.50 years. The mean DAS28-ESR was 4.45±0.68, with a minimum DAS28-ESR of 1.25 and a maximum of 8.40. The Disease severity calculated by DAS28-ESR was mild in 19(21.8%), moderate in 44(50.6%) and severe in 24(27.6 %) patients. The thyroid gland was abnormal in 23(26.1%) patients. 18(78.2%) of 23 patients with thyroid disorders belonged to the moderate to severe Rheumatoid arthritis disease activity group. Conclusion: Thyroid disorders are very common in Rheumatoid Arthritis patients. Thyroid workup should be part of investigations of Rheumatoid Arthritis for early detection of thyroid disorder and better disease control.
ISSN:0030-9648
2411-8842