{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:04:18Z","timestamp":1777611858121,"version":"3.51.4"},"reference-count":36,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,12,26]],"date-time":"2014-12-26T00:00:00Z","timestamp":1419552000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100008793","name":"Universidad del Rosario","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100008793","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Endocrinology"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To determine the prevalence and the predictive factors of autoimmune hypothyroidism (<jats:styled-content style=\"fixed-case\">AH<\/jats:styled-content>) within a systemic lupus erythematosus (<jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content>) cohort and to analyse the current information concerning the prevalence and impact of autoimmune thyroid disease (<jats:styled-content style=\"fixed-case\">AITD<\/jats:styled-content>) and thyroid autoimmunity in patients with <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 376 patients with <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content> were assessed for the presence of the following: (i) confirmed <jats:styled-content style=\"fixed-case\">AH<\/jats:styled-content>, (ii) positive thy\u2010roperoxidase\/thyroglobulin antibodies [<jats:styled-content style=\"fixed-case\">TPOA<\/jats:styled-content>b\/TgAb] without hypothyroidism, (iii) nonautoimmune hypothyroidism and (iv) <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content> patients with neither. Multivariate analysis and a classification and regression tree model were used to analyse data. The current information was discussed through a systematic literature review (<jats:styled-content style=\"fixed-case\">SLR<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In our cohort, the prevalence of confirmed <jats:styled-content style=\"fixed-case\">AH<\/jats:styled-content> was 12%. However, in euthyroid patients with <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> TPOA<\/jats:styled-content>b and TgAb were observed in 21% and 10%, respectively. Patients with confirmed <jats:styled-content style=\"fixed-case\">AH<\/jats:styled-content> were significantly older and had later age at onset of the disease. Smoking (adjusted odds ratio (<jats:styled-content style=\"fixed-case\">AOR<\/jats:styled-content>) 6\u00b793, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1\u00b798\u201328\u00b754, <jats:italic>P\u00a0=\u00a0<\/jats:italic>0\u00b7004), Sj\u00f6gren's Syndrome (<jats:styled-content style=\"fixed-case\">SS<\/jats:styled-content>) (<jats:styled-content style=\"fixed-case\">AOR<\/jats:styled-content> 23\u00b72, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1\u00b789\u2013359\u00b753, <jats:italic>P\u00a0=\u00a0<\/jats:italic>0\u00b7015) and positivity for anticyclic citrullinated peptide (anti\u2010<jats:styled-content style=\"fixed-case\">CCP<\/jats:styled-content>) (<jats:styled-content style=\"fixed-case\">AOR<\/jats:styled-content> 10\u00b735, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1\u00b704\u2013121\u00b726, <jats:italic>P\u00a0=\u00a0<\/jats:italic>0\u00b7047) were associated with <jats:styled-content style=\"fixed-case\">AH<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content>, regardless of gender and duration of the disease. Smoking and <jats:styled-content style=\"fixed-case\">SS<\/jats:styled-content> were confirmed as predictors of <jats:styled-content style=\"fixed-case\">AH<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content>. In the <jats:styled-content style=\"fixed-case\">SLR<\/jats:styled-content>, the prevalence of <jats:styled-content style=\"fixed-case\">AITD<\/jats:styled-content> ranged from 1% to 60%. The factors associated with this polyautoimmunity were female gender, older age, smoking, certain autoantibodies, <jats:styled-content style=\"fixed-case\">SS<\/jats:styled-content>, and cutaneous and articular involvement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">AITD<\/jats:styled-content> is frequent in <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content> and does not affect the severity of <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content>. Identified risk factors will assist clinicians in the search for <jats:styled-content style=\"fixed-case\">AITD<\/jats:styled-content>. Our results encourage smoke\u2010free policies in patients with <jats:styled-content style=\"fixed-case\">SLE<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cen.12662","type":"journal-article","created":{"date-parts":[[2014,11,8]],"date-time":"2014-11-08T14:41:53Z","timestamp":1415457713000},"page":"943-950","source":"Crossref","is-referenced-by-count":41,"title":["Autoimmune thyroid disease in <scp>C<\/scp>olombian patients with systemic lupus erythematosus"],"prefix":"10.1111","volume":"83","author":[{"given":"Juan\u2010Sebastian","family":"Franco","sequence":"first","affiliation":[{"name":"Center for Autoimmune Diseases Research (CREA) School of Medicine and Health Sciences Universidad del Rosario Bogot\u00e1 Colombia"},{"name":"Mederi Hospital Universitario Mayor Bogot\u00e1 Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenny","family":"Amaya\u2010Amaya","sequence":"additional","affiliation":[{"name":"Center for Autoimmune Diseases 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