학술논문

Turner syndrome and autoimmune diseases: record-linkage study.
Document Type
Article
Source
Archives of Disease in Childhood. Jan2014, Vol. 99 Issue 1, p71-73. 3p. 1 Chart.
Subject
*TURNER'S syndrome
*AUTOIMMUNE diseases
*MEDICAL records
*HOSPITAL admission & discharge
*COHORT analysis
*COMPARATIVE studies
*FOLLOW-up studies (Medicine)
Language
ISSN
0003-9888
Abstract
Background: There is increasing evidence that Turner syndrome is associated with an elevated risk of a range of autoimmune disorders. We aimed to document this in a national study. Method: Use of a record-linked dataset of all hospital admissions in England, 1999-2011, to construct a retrospective cohort of people with Turner syndrome and a control cohort of people without it. Statistical followup to identify the occurrence of 29 separate autoimmune disorders in each cohort. Calculation of rate ratios, comparing the Turner and control cohorts. Results: In the Turner syndrome cohort (2459 people), rate ratios were elevated for 16 of the 29 conditions. Examples included coeliac disease (rate ratio 14.0, 95% CI 10.2 to 18.8), Crohn's disease (5.3, 3.5 to 7.8), ulcerative colitis (3.9, 2.3 to 6.1), hypothyroidism (8.8, 7.8 to 9.9) and hyperthyroidism (4.9, 3.2 to 7.1). Conclusions: The increased risk of autoimmune disorders in people with Turner syndrome covers a wide range of conditions. [ABSTRACT FROM AUTHOR]