Zusammenfassung
Bis zu 30 % der Typ 1 Diabetiker entwickeln entsprechend Literaturangaben weitere Autoimmunerkrankungen. Zu den häufigsten Formen zählen dabei die Autoimmunthyroiditis mit 15‒30 %, die Autoimmungastritis mit 5‒10 %, die Zöliakie mit 4‒9 % und Vitiligo mit 2‒10 %. Deutlich seltener findet sich ein Morbus Addison. Die diagnostischen Maßnahmen im Rahmen der Diabetikerbetreuung sollten deshalb Screeninguntersuchungen auf weitere Autoimmunerkrankungen beinhalten.
Summary
According to literature about 30 % of the patients with type 1 diabetes develop further autoimmune diseases. Thyroid dysfunction represents with 15‒30 % the most common disorder, followed by gastritis with 5‒10 %, celiac disease with 4‒9 % and vitiligo with 2‒10 %. Addison’s disease seems to be less prevalent. Diagnostic procedures in the course of the comprehensive care for diabetic patients should therefore include screening for further autoimmune diseases.
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Lechleitner, M., Hoppichler, F. & Kaser, S. Autoimmunerkrankungen bei Typ 1 Diabetes. Wien Klin Wochenschr 128 (Suppl 2), 201–203 (2016). https://doi.org/10.1007/s00508-015-0929-x
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DOI: https://doi.org/10.1007/s00508-015-0929-x