Anatomic Pathology: Thyroid and Parathyroid Gland Pathology

906) An association has been recognized between Hashimoto thyroiditis and which of the following entities and/or phenomena?

• Several studies have demonstrated immune complex deposition within the context of Hashimoto thyroiditis./p>

• Laboratory work-up of patients with Hashimoto thyroiditis may reveal antithyroglobulin, antithyroid peroxidase, and antimicrosomal antibodies.

• These autoantibodies likely mediate thyrocyte dysfunction as follows: deposition of immune complexes (as immune complexes) on the basement membranes of follicular epithelial cells leads to complement activation and thyrocyte necrosis.

• Hashimoto thyroiditis is associated with several human leukocyte antigen (HLA) alleles including HLA-DR3, HLA-DR4, and HLA-DR5.

• The incidence of Hashimoto thyroiditis is increased among individuals with Turner syndrome and Down syndrome.

Kalderon AE, Bogaars HA: Immune complex deposits in Graves’ disease and Hashimoto’s thyroiditis. Am J Med 1977;63:729-734.

Stassi G, De Maria R: Autoimmune thyroid disease: new models of cell death in autoimmunity. Nat Rev Immunol 2002;2:195-204.

 
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