Assoziierte Autoimmunerkrankungen bei Immunthyreopathien

Patients with autoimmune thyroiditis

“…Autoimmunthyreoiditis, Lymphknoten, Lymphadenopathie, Sonographie Autoimmune thyroiditis (AIT) is the most common organ specific T-cell mediated autoimmune disease, characterized by diffuse lymphocyte infiltration and reactive fibrosis of thyroid tissue (2,5,6). AIT may be followed by hypothyroidism in roughly 30% due to progressive depletion of thyroid epithelial cells and is occasionally associated with other autoimmune diseases such as Sjögren's syndrome, type 1 diabetes and Addison's disease (9). Diagnosis is made by determination of prospective study (part 2) of lymphadenopathy in AIT patients compared with controls in all compartments of the neck, accessible to sonographic evaluation.…”

“…Hypoechoic micronodulation of the thyroid has also been described, using high resolution ultrasound (16). In Middle Europe goiter in AIT is an infrequent finding, while atrophic AIT is more common (9,10). Up to 20-30% of patients present with a sonographically normal thyroid and/or antibody negativity (9,10).…”

“…In Middle Europe goiter in AIT is an infrequent finding, while atrophic AIT is more common (9,10). Up to 20-30% of patients present with a sonographically normal thyroid and/or antibody negativity (9,10). In addition to these sonomorphological characteristics of the thyroid itself, an increased prevalence of enlarged cervical lymphatic nodes (LN) in patients with autoimmune thyroiditis has occasionally been reported in endocrinologic textbooks and overviews (5).…”