CLINICAL AND IMMUNOLOGICAL FEATURES OF BRONCHIAL ASTHMA ACCOMPANIED BY THYROID GLAND DISORDERS

To reveal clinical and immunological features of bronchial asthma (BA) combined with thyroid gland pathology,  sixty patients have been examined  in  five equal groups, i.e., BA; hypothyroidism;  thyrotoxicosis; BA + hypothyroidism; BA + thyrotoxicosis. We assessed serum IgE, IgG levels, as wekk as ...

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Published in:Medit͡s︡inskai͡a︡ immunologii͡a Vol. 15; no. 2; pp. 147 - 154
Main Authors: Kamaeva, I. A., Shaporova, N. L., Gaiduk, I. M.
Format: Journal Article
Language:English
Russian
Published: St. Petersburg branch of the Russian Association of Allergologists and Clinical Immunologists 14.07.2014
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ISSN:1563-0625, 2313-741X
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Summary:To reveal clinical and immunological features of bronchial asthma (BA) combined with thyroid gland pathology,  sixty patients have been examined  in  five equal groups, i.e., BA; hypothyroidism;  thyrotoxicosis; BA + hypothyroidism; BA + thyrotoxicosis. We assessed serum IgE, IgG levels, as wekk as IL-4/IFNγ, IL-4/IL-1, and IL-1/IL-6 ratios. Clinical exacerbations were observed more  frequently  in BA + hypothyroidism, as compared with BA patients. Remissions of BA were more prolonged  in BA patients,  than  in groups with BA + hypothyroidism, or BA + hyperthyroidism. Serum  IgE  levels were much  increased  in  the group with BA + hyperthyroidism. The  lowest IL-4/IFNγ ratio was revealed  in BA + hypothyroidism group versus BA and BA + hyperthyroidism groups. IL-4/IL-1 ratio was higher  in BA + hyperthyroidism group,  than  in BA and BA + hypothyroidism. Co-existence of hyperthyroidism with BA seems to enhance Th2 immune reactions dominating  in BA, whereas concomitant hypothyroidism may cause  a  reduction of Th2  immune  response.
ISSN:1563-0625
2313-741X
DOI:10.15789/1563-0625-2013-2-147-154