PMID- 34524590 OWN - NLM STAT- MEDLINE DCOM- 20230127 LR - 20230202 IS - 1563-258X (Electronic) IS - 0043-5341 (Print) IS - 0043-5341 (Linking) VI - 173 IP - 1-2 DP - 2023 Feb TI - Hashimoto's thyroiditis and coexisting disorders in correlation with HLA status-an overview. PG - 41-53 LID - 10.1007/s10354-021-00879-x [doi] AB - Hashimoto's thyroiditis (HT), also known as chronic lymphocytic thyroiditis, is a frequent disorder of the thyroid gland caused by autoimmune-trigged lymphocytic infiltration and destruction of the thyroid gland. With the progressive destruction of the organ, the thyroid gland shrinks in size, thus commonly leading to hypothyroidism. Therapy of HT is mainly focused on managing the thyroid dysfunction by oral substitution of L‑thyroxine. However, patients with HT often complain about a broad spectrum of symptoms, with some of them hardly explained by HT itself. Several other disorders are known to be associated with HT. The etiology of HT seems to be multifactorial, including environmental influences such as iodine supply, infections, and stress as triggers of immune modulation. In addition, also a genetic background based on changes of the human leukocyte antigen (HLA) status seems to be evident. The paper will provide an overview of diseases related to HT, including their correlation to certain HLA patterns. This presentation should give a broader view on HT-related disorders and facilitate detailed examination and management of patients with HT. CI - (c) 2021. The Author(s). FAU - Mikosch, Peter AU - Mikosch P AUID- ORCID: 0000-0001-7181-9062 AD - Teaching Unit, Medizinische Universitat Wien/Medical University Vienna, Vienna, Austria. peter.mikosch@meduniwien.ac.at. AD - Dept. Internal Medicinie 2, Landesklinikum Mistelbach-Ganserndorf, Liechtensteinstrasse 67, 2130, Mistelbach, Austria. peter.mikosch@meduniwien.ac.at. FAU - Aistleitner, Adrian AU - Aistleitner A AD - Teaching Unit, Medizinische Universitat Wien/Medical University Vienna, Vienna, Austria. FAU - Oehrlein, Markus AU - Oehrlein M AD - Teaching Unit, Medizinische Universitat Wien/Medical University Vienna, Vienna, Austria. FAU - Trifina-Mikosch, Eva AU - Trifina-Mikosch E AD - Teaching Unit, Medizinische Universitat Wien/Medical University Vienna, Vienna, Austria. LA - eng PT - Journal Article PT - Review TT - Hashimoto-Thyreoiditis und assoziierte Erkrankungen in Korrelation zum HLA-Status - eine Ubersicht. DEP - 20210915 PL - Austria TA - Wien Med Wochenschr JT - Wiener medizinische Wochenschrift (1946) JID - 8708475 RN - 0 (HLA Antigens) SB - IM MH - Humans MH - *Hashimoto Disease/diagnosis/genetics MH - *Hypothyroidism/diagnosis MH - HLA Antigens PMC - PMC9877058 OTO - NOTNLM OT - Autoimmune disorders OT - Comorbidity OT - Diagnostics OT - Genetics OT - Thyroid COIS- P. Mikosch, A. Aistleitner, M. Oehrlein, and E. Trifina-Mikosch declare that they have no competing interests. EDAT- 2021/09/16 06:00 MHDA- 2023/01/28 06:00 PMCR- 2021/09/15 CRDT- 2021/09/15 12:46 PHST- 2021/02/18 00:00 [received] PHST- 2021/07/02 00:00 [accepted] PHST- 2021/09/16 06:00 [pubmed] PHST- 2023/01/28 06:00 [medline] PHST- 2021/09/15 12:46 [entrez] PHST- 2021/09/15 00:00 [pmc-release] AID - 10.1007/s10354-021-00879-x [pii] AID - 879 [pii] AID - 10.1007/s10354-021-00879-x [doi] PST - ppublish SO - Wien Med Wochenschr. 2023 Feb;173(1-2):41-53. doi: 10.1007/s10354-021-00879-x. Epub 2021 Sep 15.