Serum anti-thyroid peroxidase antibody in infertile Nepalese women: a hospital-based study

Tuladhar, Eans Tara; Manandhar, Sujina; Raut, Mithileshwor; Bhattarai, Aseem; Sharma, Vijay Kumar; Yadav, Binod Kumar

doi:10.3126/jpn.v10i2.27267

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References 11 publications

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“…In context of the studies in pregnant population, Kiran et al reported thyroid peroxidase antibodies and anti-thyroglobulin antibodies positive rates in 66.4% and 52.1% respectively [ 45 ]. Similar studies in different cohorts in Nepal by Chaudhary et al [ 25 ] reported anti-TPO positivity in pregnant women to be 3.26% while Tuladhar et al [ 46 ] reported 7.4% anti-TPO positivity in infertile females.…”

Section: Discussionsupporting

confidence: 65%

Autoimmune thyroid status in subclinical thyroid disorders in patients attending a tertiary care center in Nepal: a hospital-based cross-sectional study

Sharma,

Niraula,

Tuladhar

et al. 2023

BMC Endocr Disord

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Background Thyroid dysfunction is the leading endocrine disorder worldwide. Iodine deficiency disorders, which were once the major etiology of thyroid dysfunctions, now have been succeeded by autoimmune thyroid diseases with the rise in aberrant salt ionization protocols. This study endeavors to access the level of thyroid autoantibodies viz. anti-thyroid peroxidase (anti-TPO), anti-thyroglobulin (TGA), and anti-thyroid stimulating hormone receptor (TRAb) in individuals with subnormal thyroid profiles. Methods This hospital-based cross-sectional study was conducted at the Department of Clinical Biochemistry, Tribhuvan University for a period of six months. Using non-probability (purposive) sampling method, a total of 60 patients were enrolled with subnormal thyroid profiles to include the population who have not yet started medication. Thyroid hormones (free T3, free T4, TSH) and thyroid antibodies (anti-TPO, TGA, and TRAb) were measured. For non-parametric data, Chi-square test and Kruskal-Wallis test were used. Spearman’s correlation was done to determine the association between variables. Results Out of 60 participants, the majority of the population between 25 and 44 years were diagnosed with thyroid dysfunction with female preponderance. Among all, 40% (n = 24) had subclinical hyperthyroid states while, 60% (n = 36) had subclinical hypothyroid states, and 75% (n = 45) of the total exhibited positive thyroid antibodies. In subclinical hypothyroid patients with TSH above 10 µIU/ml, anti TPO (58.5%) and TGA (66.7%) positivity were highly prevalent. On the other hand, TRAb was exclusively positive in hyperthyroid condition (50% among the group) which is by far the first of its kind reported in Nepal. Conclusion The rise in autoimmune thyroid disease among the Nepalese population infers that addressing iodine deficiency simply through salt iodinization may not be adequate to deal with the rising burden of thyroid disorders, especially in iodine-depleted areas. Also, the increasing prevalence of thyroid autoantibodies positivity in subclinical hypothyroidism in the Nepalese population accounts for the arduous screening and monitoring of autoimmune thyroid disorders in Nepal.

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Section: Discussionsupporting

confidence: 65%