Thyroid autoimmunity and miscarriage

Autor: Mark F. Prummel, Wilmar M. Wiersinga
Jazyk: angličtina
Rok vydání: 2004
Předmět:
Zdroj: European journal of endocrinology / European Federation of Endocrine Societies. 150(6):751-755
ISSN: 0804-4643
DOI: 10.1530/eje.0.1500751
Popis: To ascertain the strength of the association between thyroid autoimmunity and miscarriage, we performed a meta-analysis of both case-control and longitudinal studies performed since 1990 when this association was first described. A clear association between the presence of thyroid antibodies and miscarriage was found with an odds ratio (OR) of 2.73 (95 % confidence interval (CI), 2.20-3.40) in eight case-control and ten longitudinal (OR, 2.30; 95 % CI, 1.80-2.95) studies. This association may be explained by a heightened autoimmune state affecting the fetal allograft, of which thyroid antibodies are just a marker. Alternatively, the association can be partly explained by the slightly higher age of women with antibodies compared with those without (mean+/-S.D. age difference, 0.7+/-1.0 years; P
Databáze: OpenAIRE