THE IMPORTANCE OF VİTAMİN D LEVEL İN SUBACUTE THYROİDİTİS DİSEASE AND THE EFFECT OF VİTAMİN D ON DİSEASE PROGNOSİS

Subacute thyroiditis (SAT) is an inflammatory thyroid disease that manifests with severe pain. The presence of the vitamin D receptor in immune system cells shows that vitamin D deficiency can trigger inflammatory diseases. The aim of the present study was to determine the prevalence of vitamin D deficiency in SAT patients, and the relationship between vitamin D level and permanent hypothyroidism and recurrence rate. In this retrospective study, 25-hydroxyvitamin D [25(OH)D] levels of 170 SAT patients and 86 control subjects were compared. The 25(OH)D levels were significantly lower in the SAT patients, and there was no seasonal difference. A negative correlation was determined between ESR and 25(0H)D, but no significant relationship was found between vitamin D level and prognosis. As a result of this study, it was shown that vitamin D levels in subacute thyroiditis patients were significantly lower than in the healthy control group. Although there is no relationship between vitamin D level and disease prognosis, vitamin D deficiency may increase the rate of respiratory tract infections (especially, influenza, coxsackievirus, measles, adenovirus, retroviruses) and eventually SAT development. .