Effect of Thyroid Dysfunction on Complete Blood Count

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Bolormaa Ganbaatar Davaasuren Damdindorj Punsaldulam Tsogbadrakh Anujin Rentsentavkhai Maralmaa Khuder Oyunbileg Bavuu

Abstract

Background: Thyroid hormones play a crucial role in metabolism and the proliferation of blood cells. Therefore, thyroid hormones have a direct effect on blood parameters by stimulating erythrocyte precursors and indirect effect by enhancing erythropoietin production. Additionally, it affects red blood cells include mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, and red cell distribution width. In this study, we evaluated difference of complete blood count result between the healthy control, Hashimoto thyroiditis and Graves’ disease study groups.


Methods and results: This is a cross-sectional study which included 158 subjects (male 9, female 149), categorized into three groups: control, hypothyroidism (patients with Hashimoto’s thyroiditis), and hyperthyroidism (patient with Graves’ disease).


The analyses showed a significant difference the between the groups in term of mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, and red cell distribution width and monocyte (p values < 0.05).


Conclusion: The functional abnormalities of the thyroid gland significantly impact blood cells, and the complete blood cell count results play a critical role in the diagnosis of the condition.

Article Details

How to Cite
GANBAATAR, Bolormaa et al. Effect of Thyroid Dysfunction on Complete Blood Count. Medical Research Archives, [S.l.], v. 11, n. 9, sep. 2023. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/4420>. Date accessed: 21 nov. 2024. doi: https://doi.org/10.18103/mra.v11i9.4420.
Section
Research Articles

References

1. Dorgalaleh A. Effect of thyroid dysfunctions on blood cell count and red blood cell indice. Iranian Journal of Pediatric Hematology and Oncology. 2013;3(2):73-77.
2. Soliman A. Chronic anemia and thyroid function. Acta Bio-Medica : Atenei Parmensis. 2017;88:119-127.
3. Chandel, Rittu S, Chatterjee M. Impact of subclinical hypothyroidism on iron status and hematological parameters. Annals of Pathology and Laboratory Medicine. Published online 2015.
4. Stephanie L , Lee M . Hashimoto thyroiditis medication. Thyroid Products. Published online 2023.
5. Ching S, Yeung J. Graves disease Practice Essentials, Pathophysiology, Epidemiology. Published online 2023.
6. Davaasuren D. Patients with thyroid disorders in first central hospital. Journal of first central hospital academic workbook. 2016.
7. Montagnana M, Lippi G. The red blood cell distribution width is associated with serum levels of thyroid stimulating hormone in the general population. International Journal of Laboratory Hematology. 2009;31:581-582.
8. Ford H, Carter J. The hematology of hyperthyroidism: abnormalities of erythrocytes, leucocytes, thrombocytes and haemostasis. Postgraduate Medical Journal. 1988;64:735-742.
9. Bashir H, Bhat M. Comparison of hematological parameters in untreated and treated subclinical hypothyroidism and primary hypothyroidism patients. Medical Journal of the Islamic Republic of Iran. 2012;26:172-178.
10. Stanić, G., Snežana, M., & Ignjatović, D. R. (2022). Influence of Thyroid Disorders upon the Incidence and the Severity of Psychosomatic Symptoms in Patients. Iranian journal of public health, 51(8), 1798–1806. https://doi.org/10.18502/ijph.v51i8.10264
11. Hassan-Kadle, M. A., Adani, A. A., Eker, H. H., Keles, E., Muse Osman, M., Mahdi Ahmed, H., & Görçin Karaketir, Ş. (2021). Spectrum and Prevalence of Thyroid Diseases at a Tertiary Referral Hospital in Mogadishu, Somalia: A Retrospective Study of 976 Cases. International journal of endocrinology, 2021, 7154250. https://doi.org/10.1155/2021/7154250
12. Kolkhir, P., Metz, M., Altrichter, S., & Maurer, M. (2017). Comorbidity of chronic spontaneous urticaria and autoimmune thyroid diseases: A systematic review. Allergy, 72(10), 1440–1460. https://doi.org/10.1111/all.13182
13. Horton L, Coburn R. The haematology of hypothyroidism. Quarterly Journal of Medicine. 1976:101-124.
14. Omar S, Taeib H. Erythrocyte abnormalities in thyroid dysfunction. La Tunisie Medicale. 2010;88:783-788.
15. Gu Y, Chi VT, Zhang Q, et al. Low-normal thyroid function predicts incident anemia in the general population with Euthyroid status. The Journal of Clinical Endocrinology & Metabolism. 2019;104(11):5693-5702. doi:10.1210/jc.2019-00888
16. Iddah MA, Macharia BN, Ng’wena AG, Keter A, Ofulla AV. Thryroid hormones and hematological indices levels in thyroid disorders patients at MOI teaching and Referral Hospital, Western Kenya. ISRN Endocrinology. 2013;2013:1-6. doi:10.1155/2013/385940
17. Gilbert H, Daniels M. The white cell in Graves’ disease. Clinical Thyroid ology. 2016;28.
18. Weitzman S, Stossel T. Antineutrophil autoantibodies in Graves’ disease. Implications of thyrotropin binding to neutrophils. The Journal of Clinical Investigation. 1985;75:119-123.
19. Dorgalaleh A, Mahmoodi M. Effect of thyroid dysfunctions on blood cell count and red blood cell indices. Iranian Journal of Pediatric Hematology and Oncology. 2013;3:73-77.
20. Aktas G, Sit M. Could red cell distribution width be a marker in Hashimoto’s thyroiditis? Experimental and Clinical Endocrinology & Diabetes. Official Journal of German Society of Endocrinology and German Diabetes Association. 2014;122:572-574. doi:10.1055/s-0034-1383564
21. Zhou G. Association between red blood cell distribution width and thyroid function. Frontiers in Endocrinology. 2022;12.
22. Bremner A, Feddema P. Significant association between thyroid hormones and erythrocyte indices in euthyroid subjects. Clinical Endocrinology. 2012;76:304-311.
23. Abdelsamea K, Omar M. Assessment of rel cell distribution width among Sudanese patients with hypothyroidism. research square. 2023. doi:https://doi.org/10.21203/rs.3.rs-2518318/v1
24. Karkoutly S, Hammoud T. Effect of hypothyroidism on hematological parameters: a gender based comparison. New Zealand Journal of Medical Laboratory Science. 2020;74:98-102.
25. Nightingale S, Vitek P. The haematology of hyperthyroidism. The Quarterly Journal of Medicine. 1978;47(185):35-47.
26. Bilgin S, Tel BM, Kahveci G, et al. Hypothyroidism is strongly correlated with mean platelet volume and red cell distribution width. National Journal of Health Sciences. 2021;6(1):7-10. doi:10.21089/njhs.61.0007
27. Kawa MP, Grymuła K, Paczkowska E, et al. Clinical relevance of thyroid dysfunction in human haematopoiesis: Biochemical and Molecular Studies. European Journal of Endocrinology. 2010;162(2):295-305. doi:10.1530/eje-09-0875

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