1887
Volume 2025, Issue 3
  • ISSN: 0253-8253
  • E-ISSN: 2227-0426

Dysfunctions in thyroid hormones induce various effects on hematopoiesis such as anemia, changes in red blood cells (RBC) and platelet counts, as well as changes in hematological indices. The aim of the present study was to assess the association between thyroid hormone levels and hematological indices among women with thyroid dysfunction who were attending an outpatient clinic in Mosul, Iraq.

This case–control study was conducted at Al-Wafa Specialist Centre for Diabetes and Endocrine Diseases from April to July 2024. A total of 300 women participated in this study (100 with hypothyroidism, 100 with hyperthyroidism, and 100 with normal thyroid function serving as controls). The hematological indices of the three groups were analyzed and compared. Blood indices were analyzed using the Mythic-18 hematology analyzer. Ethical approval was obtained before data collection, and written consent was obtained from all participants.

All RBC indices [hemoglobin (Hb), RBC count, hematocrit (HCT), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC)] were significantly lower in patients with hypothyroidism compared to those in the control group ( ≤ 0.05), except for red blood cell distribution width (RDW), which was significantly higher in patients with hypothyroidism ( = 0.000).

White blood cell count was significantly lower in patient with hypothyroidism compared to those in the control group ( = 0.000). In contrast, no statistically significant differences were observed in any blood indices in patients with hyperthyroidism compared to the control group. A statistically significant negative correlation was identified between thyroid-stimulating hormone and Hb, RBC count, HCT, MCV, MCH, alongside a statistically significant positive correlation with RDW.

The dysfunction of thyroid hormones has an impact on blood indices. Anemia is frequently observed in patients with thyroid dysfunction, especially in cases of hypothyroidism. Variations in blood indices may indicate underlying thyroid disorders. Therefore, it is imperative not to disregard the assessment of thyroid hormones in cases of unexplained anemia or unaccounted changes in blood indices.

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References

  1. Asmelash D, Tesfa K, Biadgo B. Thyroid dysfunction and cytological patterns among patients requested for thyroid function test in an endemic goiter area of Gondar, North West Ethiopia. Int J Endocrinol. 2019 Aug 14; 2019:9106767. https://doi.org/10.1155/2019/9106767
    [Google الباحث العلمي]
  2. Chandel RS, Chatterjee G, Abichandani L. Impact of subclinical hypothyroidism on iron status and haematological parameters. Ann Pathol Lab Med. 2015 Jan 30. 2:(1):A21–5. Available from:https://pacificejournals.com/journal/index.php/apalm/article/view/161
    [Google الباحث العلمي]
  3. Dorgalaleh A, Mahmoodi M, Varmaghani B, Kiani Node F, Saeeidi Kia O, Alizadeh Sh, et al. Effect of thyroid dysfunctions on blood cell count and red blood cell indice. Iran J Ped Hematol Oncol. 2013 Apr 22. 3:(2):73–7. Available from:https://pmc.ncbi.nlm.nih.gov/articles/PMC3915449/
    [Google الباحث العلمي]
  4. Tata JR. The road to nuclear receptors of thyroid hormone. Biochim Biophys Acta. 2013 Jul; 1830:(7):3860–6. https://doi.org/10.1016/j.bbagen.2012.02.017
    [Google الباحث العلمي]
  5. Pushparaj T. Correlation of thyroid stimulating hormone levels and hematological parameters among euthyroids, hypothyroids and hyperthyroids. Univ J Pre Paraclin Sci. 2021; 7:(1):197–280.
    [Google الباحث العلمي]
  6. Maggio M, De Vita F, Fisichella A, Lauretani F, Ticinesi A, Ceresini G, et al.. The role of the multiple hormonal dysregulation in the onset of “anemia of aging”: Focus on testosterone, IGF-1, and thyroid hormones. Int J Endocrinol. 2015 Dec 8. 2015:292574. https://doi.org/10.1155/2015/292574
    [Google الباحث العلمي]
  7. Kawa MP, Machaliński B. Hematopoiesis dysfunction associated with abnormal thyroid hormones production. Thyroid Disorder Focus Hyperthyr. 2014 May; 3:181–205. https://doi.org/10.5772/58531
    [Google الباحث العلمي]
  8. Alqahtani SAM. Prevalence and characteristics of thyroid abnormalities and its association with anemia in ASIR region of Saudi Arabia: A cross-sectional study. Clin Pract. 2021 Aug 6; 11:(3):494-504. https://doi.org/10.3390/clinpract11030065
    [Google الباحث العلمي]
  9. Uma Maheshwari K, Rajagopalan B, Samuel RT. Variations in haematological indices in patients with thyroid dysfunction. Int J Contemp Med Res. 2020; 7:(1):A5–7.
    [Google الباحث العلمي]
  10. Siddegowda MS, Chaithra R, Shivakumar S, Maithri CM. Effects of thyroid function on blood cell counts and red cell indices – a retrospective study at a tertiary care centre in Mandya, Karnataka. J Evid Based Med Healthc. 2021 July 5. 8:(27):2434–8. https://doi.org/10.18410/jebmh/2021/451
    [Google الباحث العلمي]
  11. Ahmed SS, Mohammed AA. Effects of thyroid dysfunction on hematological parameters: Case controlled study. Ann Med Surg (Lond). 2020 Jul 11. 57:52–5. https://doi.org/10.1016/j.amsu.2020.07.008
    [Google الباحث العلمي]
  12. [Google الباحث العلمي]
  13. Roche diagnostics . Cobas 6000 analyzer Available from:https://diagnostics.roche.com/content/dam/diagnostics/Blueprint/en/pdf/cps/cobas%206000%20brochure.pdf[Accessed 20 August 2024].
    [Google الباحث العلمي]
  14. Salim E, Sheikh S, Ali U, Zubairi AM, Asim A, Khawaja S. Impact of thyroid dysfunction on red cell indices in a tertiary care hospital. Pak J Med Den. 2020 Feb; 9:(1):41–5. https://doi.org/10.36283/PJMD9-1/009
    [Google الباحث العلمي]
  15. Shetty A, Vijaya C. A study of hematological parameters and their correlation with thyroid hormone status in non-pregnant women of childbearing age. Indian J Pathol Oncol. 2019 Jan-Mar; 6:(1):102–6. https://doi.org/10.18231/2394-6792.2019.0018
    [Google الباحث العلمي]
  16. Bodapati S, Parvataneni R. Devi Kakaraparthi Y, Punnapu V. Hypothyroidism and alterations in hematological parameters. Asian J of Pharma Clin Res. 2023 Mar; 16:(3):52–6. https://doi.org/10.22159/ajpcr.2023.v16i3.46902
    [Google الباحث العلمي]
  17. Ganbaatar B, Damdindorj D, Tsogbadrakh P, Rentsentavkhai A, Khuder M, Bavuu O. Effect of thyroid dysfunction on complete blood count. Med Res Arch. 2023 Sep 28. 11:(9):. https://doi.org/10.18103/mra.v11i9.4420
    [Google الباحث العلمي]
  18. Refaat B. Prevalence and characteristics of anemia associated with thyroid disorders in non-pregnant Saudi women during the childbearing age: A cross-sectional study. Biomed J. 2015 Jul–Aug; 38:(4):307–16. https://doi.org/10.4103/2319-4170.151032
    [Google الباحث العلمي]
  19. Kadgi NV, Chauhan SG, Nakate LA. Hematological changes in hypothyroidism and hyperthyroidism in adults. Indian J Pathol Oncol. 2021; 8:(4):452–6. https://doi.org/10.18231/j.ijpo.2021.094
    [Google الباحث العلمي]
  20. Aparajita S, Manas T, Santasmita P. Red blood cell indices and hypothyroidism. JK Science. 2022 July-Sep; 24:(3):177–82. Available from:https://journal.jkscience.org/index.php/JK-Science/article/view/141
    [Google الباحث العلمي]
  21. Das C, Sahana PK, Sengupta N, Giri D, Roy M, Mukhopadhyay P. Etiology of anemia in primary hypothyroid subjects in a tertiary care center in Eastern India. Indian J Endocrinol Metab. 2012 Dec; 16:(Suppl 2):S361–3. https://doi.org/10.4103/2230-8210.104093
    [Google الباحث العلمي]
  22. Aktas G, Sit M, Dikbas O, Tekce BK, Savli H, Tekce H. Could red cell distribution width be a marker in Hashimoto’s thyroiditis?. Exp Clin Endocrinol Diabetes. 2014 Nov; 122:(10):572–4. https://doi.org/10.1055/s-0034-1383564
    [Google الباحث العلمي]
  23. Nechyporuk V, Korda M, Pentiuk L, Kovalchuk O, Andriichuk V. Implementation of programmed cell death in circulating neutrophils and its special characteristics in experimentally induced hyperhomocysteinemia in a setting of thyroid dysfunction. Pol Merkur Lekarski. 2020 Dec 22. 48:(288):437–42. Available from:https://pubmed.ncbi.nlm.nih.gov/33387433/
    [Google الباحث العلمي]
  24. Łacka K, Maciejewski A. The role of apoptosis in the etiopathogenesis of autoimmune thyroiditis. Pol Merkur Lekarski. 2012 Feb; 32:(188):87–92. Available from:https://pubmed.ncbi.nlm.nih.gov/22590910/
    [Google الباحث العلمي]
  25. Modala S, Dhar U, Thimmaraju KV, Baghel M, Hari Krishna B. Haematological profile and body composition in hypothyroid patients. Int J Contemp Med Res. 2017; 4:(3):661–5.
    [Google الباحث العلمي]
  26. Iddah MA, Macharia BN, Ng’wena AG, Keter A, Ofulla AVO. Thryroid hormones and hematological indices levels in thyroid disorders patients at Moi Teaching and Referral Hospital, Western Kenya. ISRN Endocrinol. 2013 Apr 15. 2013:385940. https://doi.org/10.1155/2013/385940
    [Google الباحث العلمي]
  27. Suhail N, AlSel BTA, Batool S. Prevalence and association of thyroid dysfunction with anemia/body iron status among Northern Border Saudi Population. Int J Med Res Health Sci. 2020; 9:(3):1–7. Available from:https://www.academia.edu/67118880/Prevalence_and_Association_of_Thyroid_Dysfunction_with_Anemia_Body_Iron_Status_among_Northern_Border_Saudi_Population?uc-g-sw=67320466
    [Google الباحث العلمي]
  28. Bremner AP, Feddema P, Joske DJ, Leedman PJ, O’Leary PC, Olynyk JK, et al.. Significant association between thyroid hormones and erythrocyte indices in euthyroid subjects. Clin Endocrinol (Oxf). 2012 Feb; 76:(2):304–11. https://doi.org/10.1111/j.1365-2265.2011.04228.x
    [Google الباحث العلمي]
  29. Kamel FH, Karbon MH, Karim HMA, Hassan FM. Measurement of the normal range of thyroid gland & thyroid stimulating hormones in Iraqi population. J Coll Basic Educ. 2022; 19:(79):211–9. https://doi.org/10.35950/cbej.v19i79.7273
    [Google الباحث العلمي]
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  • نوع المستند: Research Article
الموضوعات الرئيسية anemiaassociationhematological indiceshyperthyroidism and Hypothyroidism

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