Celiac Disease, Celiac Sprue, Hypothyroidism, Malabsorption
Conditions
Keywords
Celiac Disease, Hypothyroidism, Celiac Sprue, Malabsorption
Brief summary
The study evaluates whether hypothyroid patients requiring elevated doses of levothyroxine to maintain a euthyroid state are at increased risk of having celiac disease. It also attempts to determine if there is a threshold level of levothyroxine needed to maintain a euthyroid state in patients with hypothyroidism that should prompt serologic testing for celiac disease.
Detailed description
This study is looking at whether hypothyroid patients who require above 125 mcg/day (or \>1.5mcg/kg/day) of levothyroxine are more likely to have celiac disease than those who require smaller doses. It also looks to see if the prevalence of celiac disease in hypothyroid patients who require elevated doses of levothyroxine is high enough to warrant screening in that population.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with the diagnosis of hypothyroidism that require thyroid replacement therapy.
Exclusion criteria
* Surgical resection of thyroid tissue, neck irradiation, radioactive iodine therapy, prior medical treatment with lithium, methimazole, propylthiouracil, ethionamide, amiodarone, or sunitinib, prior serologic testing for celiac disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| presence of celiac disease | 1 month |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Symptoms associated with celiac disease | 6 months | a short questionnaire will be filled out at the time of serologic testing. If a patient hads celiac disease the form will be filled out again at 6 months after diagnosis. |
| medication adjustment | 6 months | Patients diagnosed with celiac disease who initiate a gluten free diet will be assessed to determine whether adjustment of levothyroxine dosing is necessary |
Countries
United States