Anti-thyroid antibodies and thyroid function in... - Thyroid UK

Thyroid UK

141,245 members166,490 posts

Anti-thyroid antibodies and thyroid function in neuromyelitis optica spectrum disorders

helvella profile image
helvellaAdministrator
5 Replies

This morning I received an alert from PubMed where I have a permanent search set up. The paper that caught my eye was the one just below (abstract only, I’m afraid).

Neuromyelitis optica (NMO), also known as Devic's disease or Devic's syndrome, seems to have an association with thyroid disease, especially Thyroid Peroxidase antibodies and Thyroglobulin antibodies.

Whilst NMO is clearly a very severe disease, there were too many references to symptoms I have seen reported here. Wiki mentions:

The main symptoms of Devic's disease are loss of vision and spinal cord function. Optic neuritis may manifest as visual impairment with decreased visual acuity, although visual field defects, or loss of color vision may occur in isolation or prior to formal loss of acuity. Spinal cord dysfunction can lead to muscle weakness, reduced sensation, or loss of bladder and bowel control. The typical patient has an acute and severe spastic weakness of the legs (paraparesis) or all four limbs (quadriparesis) with sensory signs, often accompanied by loss of bladder control.

en.wikipedia.org/wiki/Neuro...

Not for one minute am I suggesting that everyone here has NMO. It would be a surprise if anyone has it. But the simple existence of the apparent link seems, to me, to be of interest.

Both thyroid disorders and B12 deficiency/pernicious anaemia have also been referred to quite a few times in the research on NMO.

And a few more random links:

nmouk.nhs.uk/

ninds.nih.gov/disorders/neu...

guthyjacksonfoundation.org/...

orpha.net/consor/cgi-bin/OC...

J Neurol Sci. 2016 Jul 15;366:3-7. doi: 10.1016/j.jns.2016.04.039. Epub 2016 Apr 21.

Anti-thyroid antibodies and thyroid function in neuromyelitis optica spectrum disorders.

Wang X1, Yi H2, Liu J3, Li M4, Mao ZF5, Xu L6, Peng FH7.

Author information

• 1Department of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong Province 510630, China. Electronic address: 786369892@qq.com.

• 2Department of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong Province 510630, China. Electronic address: yihuan1992@163.com.

• 3Department of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong Province 510630, China. Electronic address: 993744302@qq.com.

• 4Department of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong Province 510630, China. Electronic address: plum-min@163.com.

• 5Department of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong Province 510630, China. Electronic address: 41209184@qq.com.

• 6Department of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong Province 510630, China. Electronic address: shinexuli@qq.com.

• 7Department of Neurology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong Province 510630, China. Electronic address: pfh93@163.com.

Abstract

BACKGROUND:

Neuromyelitis optica spectrum disorders (NMOSD) are complicated neuroautoimmune disorders which can coexist with other organ-specific autoimmune disorders. The most frequently specific organ is the thyroid. The aim of this study is to evaluate the thyroid function of NMOSD patients and detect the difference between anti-thyroid antibodies (ATAbs) seropositive and seronegative NMOSD patients.

METHODS:

88 patients diagnosed with NMOSD were enrolled and their thyroid functions were evaluated. They were divided into two groups by ATAbs abnormalities. In addition, demographic characteristics, clinical symptoms and MRI scan results of brain and spinal cord were assessed.

RESULTS:

Anti-thyroid peroxidase antibodies (TPOAbs) and anti-thyroglobulin antibodies (TGAbs) seropositivities were detected more frequently in patients with NMOSDs when compared with healthy controls (37.5% vs 14.9%, P=0.01, Diff22.6%, 95CI[9.0%, 34.9%]; 31.8% vs 16.2%, P=0.022, Diff15.6%, 95CI[2.27%, 27.9%]). In NMOSD patients, the Expanded disability status scale score (EDSS) score was significantly higher in ATAbs seropositive group than that in ATAbs seronegative group (median 6.5 vs 3.75, P=0.012). However, there is no significant difference for demographic characteristics and other clinical symptoms. Moreover, NMOSD patients with ATAbs abnormalities had more brain and cervical cord lesions when compared with ATAbs negative NMOSD patients (83.8% vs 61.4%, P=0.029, Diff22.4%, 95CI[0.9%, 40.9%]; 93.9% vs 59.6%, P=0.001, Diff34.3%, 95CI[13.6%, 50.4%]).

CONCLUSIONS:

NMOSD patients have a higher frequency of ATAbs abnormalities. ATAbs may be associated with disability status, brain abnormalities and cervical cord lesions.

Copyright © 2016 Elsevier B.V. All rights reserved.

KEYWORDS:

Anti-thyroid antibodies; Expanded disability status scale (EDSS) score; Magnetic resonance imaging (MRI); Neuromyelitis optica spectrum disorder (NMOSD)

PMID: 27288767 [PubMed - in process]

A bit more information compiled from searches by me - there is lots more out there.

dl.dropboxusercontent.com/u...

Written by
helvella profile image
helvella
Administrator
To view profiles and participate in discussions please or .
Read more about...
5 Replies
helvella profile image
helvellaAdministrator

By the way, I could not find a single mention of neuromyelitis optica on this Thyroid UK forum in all the years it has been going. Either search is broken, or it really is not a link that is recognised by those here who have even heard of it.

Marz profile image
Marz

Thank you for this interesting paper. Dr Datis Kharrazian covers this topic quite well and is speaking at the present Hashimotos Healing On-line summit. He was the reason I went gluten free in an attempt to reduce the TPO anti-bodies - and it has taken me 3 years :-) Still a way to go. He wrote the book - Why Isn't My Brain Working ? - a big fat book but a good read.

I have just this minute posted that I do not know what is causing my ataxia/spinal issues - could it be the B12 - the Hashimotos - the Gluten - or more than likely a combination of all three !

healinghashimotossummit.com...

helvella profile image
helvellaAdministrator in reply toMarz

Whichever, or whatever, best of luck in identifying the cause.

Gemmasully profile image
Gemmasully

Good morning I am awaiting my diagnosis for NMO devic's disease. Is this the group/ community for it?

helvella profile image
helvellaAdministrator in reply toGemmasully

Gemmasully,

Not really!

Obviously, all are welcome, but I don't think we have any special understanding.

I posted because people here have often been interested in what else is associated with thyroid antibodies.

I had a quick look round and found few communities with even a single mention. For example, I did this search:

healthunlocked.com/search/n...

And only a handful of forums came up.

Not what you're looking for?

You may also like...

Low triiodothyronine: A new facet of inflammation in acute ischemic stroke

Does this paper really imply we could argue like this: "Doctor, Please let me have my liothyronine...
helvella profile image
Administrator

Effects of Increased Iodine Intake on Thyroid Disorders

Many of the most persistent questions here, and in many other places that thyroid is discussed,...
helvella profile image
Administrator

Chinese herbal medicine against thyroiditis has a clear scientific explanation for its effects

This paper examines the proven value of the herb Prunella vulgaris against Hashimoto's thyroiditis...
diogenes profile image
Remembering

Neuroprotective actions of thyroid hormones and low-T3 syndrome as a biomarker in acute cerebrovascular disorders

Another paper suggesting that thyroid hormone protects... Will we see T3 listed in the BNF in...
helvella profile image
Administrator

The effect of antiepileptic drugs on thyroid function in children

Interactions between everything to do with thyroid (hormones, tests, etc.) and medicines has often...
helvella profile image
Administrator