Abstract

Abstract Introduction/Objective Endocrinopathies are a commonly occurring entity, particularly those of the thyroid gland, however there is lack of scientific literature from Afghanistan, a country with very limited health care facilities and resources. This is the first study aimed to describe the frequency of occurrence and factor associated with thyroid dysfunction in Afghan population. The aim of this study is to estimate the frequency and to identify factors associated with thyroid dysfunction among individuals coming to a tertiary care facility in Kabul, Afghanistan. Methods/Case Report A cross-sectional study was conducted from July to Sep 2018 at the Department of Clinical Pathology, French Medical Institute for Mothers and Children (FMIC), Kabul, Afghanistan. Blood samples were obtained, serum TSH levels were analyzed, and the patients were divided into three diagnostic categories according to their serum TSH concentrations: 1) Hypothyroidism 2) Hyperthyroidism 3) normal. Results (if a Case Study enter NA) A total of 127 individuals were included in the final analysis. Majority study participants (77%) were females. A large number of the participants (92%) did not have family history of thyroid dysfunction. (74%) participants in the study had normal TSH levels classified as normal thyroid function, (14%) had lower TSH levels and (12%) higher TSH levels (Table 1) classified as hyper and hypothyroid respectively. Conclusion The findings of the current study showed a high frequency of thyroid dysfunctions from a single center. Further large scale studies are needed to find out the prevalence and document this entity for better health outcomes in the country.

Highlights

  • Endocrinopathies are a commonly occurring entity, those of the thyroid gland, there is lack of scientific literature from Afghanistan, a country with very limited health care facilities and resources

  • The findings of the current study showed a high frequency of thyroid dysfunctions from a single center

  • The current study findings revealed that a considerable percentage of the participants had thyroid dysfunctions, (14%) had lower thyroid stimulating hormone (TSH) levels which mean hyperthyroidism and (12%) had higher TSH levels which means hypothyroidism

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Summary

Introduction

Endocrinopathies are a commonly occurring entity, those of the thyroid gland, there is lack of scientific literature from Afghanistan, a country with very limited health care facilities and resources. This is the first study aimed to describe the frequency of occurrence and factor associated with thyroid dysfunction in Afghan population. The thyroid secretes two most important hormones, thyroxine and triiodothyronine, usually called T4 and T3, correspondingly. These hormones greatly increase the metabolic rate of the body (1). Laboratory tests for thyroid assessment can be divided into two main classes including tests that evaluate the state of the hypothalamic-pituitary-thyroid axis such as TSH followed by estimation of the free T4 or T3 concentrations in the serum for confirmation (4)

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