Current State of Autoimmune Thyroiditis Problem
DOI:
https://doi.org/10.51699/ijhsms.v2i5.1783Keywords:
autoimmune thyroiditis, hypothyroidism, pathogenesis of autoimmune thyroiditis, organization of medical careAbstract
The review provides up-to-date data on pathogenetic mechanisms, diagnostic capabilities, and features of organizational and medical measures related to autoimmune thyroiditis (AIT). AIT is a polyethological disease, which is based on the influence of environmental factors, genetic predisposition and violation of immune regulation.
The review analyzes the association of AIT with an imbalance of a number of trace elements involved in the synthesis of thyroid hormones and affecting iodine metabolism. The results of studies that established the nature of immune disorders in AIT and hypothyroidism in the form of violations of subpopulations of lymphocytes, pro-inflammatory and anti-inflammatory cytokines, changes in the mechanisms of apoptosis, which were proposed for use as predictors of the severity of thyroid immune inflammation and hypothyroidism are presented. The criteria for selecting patients with an increased risk of developing complications in AIT remain unclear, which makes it necessary to develop and implement additional organizational and medical measures to monitor this population of patients and assess their quality of life.
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