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A Journal on Internal Medicine

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Minerva Medica 2014 August;105(4):303-12


language: English

Is lymphocytic thyroiditis a unique type or merely a type of Hashimoto’s thyroiditis?

Todorovic J. 1, Nesovic Ostojic J. 1, Opric D. 2, Dundjerovic D. 2, Bozic V. 3, Markovic L. Jr. 1

1 Department of Pathophysiology, Medical Faculty University of Belgrade, Belgrade, Serbia; 2 Department of Pathology, Medical Faculty University of Belgrade, Belgrade, Serbia; 3 Department of Pathology, Clinical Centre of Belgrade, Belgrade, Serbia


AIM: Objective of the study was to clarify the role of apoptosis in the pathogenesis of lymphocytic thyroiditis (LT) and the existence of difference between Hashimoto’s thyroiditis (HT) and LT.
METHODS: We evaluated levels of antithyroglobulin and antithyroperoxidase antibodies, the apoptosis by in situ Cell Death Detection-TUNEL and the expression of Bcl2 and Bax by immunohistochemistry in thyroid tissues from 16 patient with HT, 10 with LT and 10 with euthyroid goiter-EG (control group).
RESULTS: It was found that apoptosis of thyrocytes in HT (mean 3.05%, SD 1.29%) and LT (mean 2.70%, SD 1.17%) was statistically significantly higher than EG (mean 0.56%, SD 0.23%), but the difference in the percentage of thyrocytes between HT and LT was not statistically significant. In HT the percentage of apoptotic infiltrating lymphocytes (mean 0.59%, SD 0.23%) was smaller than in EG (mean 2.26%, SD 1.42%), but it showed no significant difference in comparison to LT. The expression of Bax in infiltrating lymphocytes in HT (mean 0.72%, SD 0.34%) was statistically significantly higher than LT (mean 0.11%, SD 0.06%). The level of thyroglobulin was lower in HT compared to LT (P<0.01) and compared to EG (P<0.01). The level of antithyroglobulin/antithyroperoxidase antibodies was higher in HT compared to LT (P<0.01) and compared to EG (P<0.01). There was no statistically significant difference in the level of thyroglobulin and level of antibodies between LT and EG.
CONCLUSION: These results suppose that apoptosis represents one of significant mechanisms in the pathogenesis of both HT and LT and that LT probably differs from HT.

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