ESPE2022 Poster Category 2 Diabetes and Insulin (43 abstracts)
Association of type 1 diabetes mellitus with autoimmune diseases in children in the Department of Endocrinology-Diabetology and Nutrition at Mohammed VI University Hospital Center Oujda
Hajar Charif 1 , Latifa Yagoubi 1 , Amal Ourdi 1 , Yousra Laalaoua 1 , Imane Assarrar 1 , Najoua Messaoudi 1 , Siham Rouf 1,2 & Hanane Latrech 1,2
1Endocrinology-Diabetology and Nutrition Department, of Mohammed VI University Hospital Center Oujda, Faculty of Medicine and Pharmacy Oujda, Université Mohammed Premier Oujda, MOROCCO, OUJDA, Morocco; 2laboratories of epidemiology, clinical research and public health, Faculty of Medicine and Pharmacy Oujda, University Mohammed Premier Oujda, MOROCCO, OUJDA, Morocco
Introduction: Type 1 diabetes is frequently accompanied by other autoimmune diseases that can sometimes be integrated into autoimmune polyendocrinopathies. Through this work, we sought to describe the association of autoimmune diseases with type 1 diabetes in children.
Patients and Methods: This is a retrospective and descriptive study, including 354 type 1 diabetic patients hospitalized in the Department of Endocrinology Diabetology and Nutrition at Mohammed VI University Hospital Center Oujda between 2016 and 2021. All our patients had benefited from a systematic search for autoimmune diseases. The statistical analysis was performed by SPSS version 21 software.
Results and discussion: The mean age of our patients was 16 ± 1.9 years. Our population was predominantly female with a sex ratio of 0.94. A family history of autoimmune diseases was noted in 6 cases. Anti-IA2 and anti-GAD antibodies were positive in 19% of cases. Autoimmune diseases were noted in 23 patients, 34.7% of whom were men and 65.8% women. Autoimmune dysthyroidism was the leading cause in 34% of cases. type 1 diabetes mellitus preceded dysthyroidism in 65% of cases. Celiac disease was noted in 30% of cases. Autoimmune polyendocrinopathy was listed in 39.2% of cases and psoriasis in 0.28% of our patients.
Conclusion: The frequency of autoimmune diseases in type 1 diabetics, which can sometimes be part of autoimmune polyendocrinopathy, encourages screening for them when diabetes is discovered. The screening will allow an early management of these disorders and prevent further complications.
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