Akademik Veri Yönetim Sistemi
29. WONCA EUROPE CONFERENCE, Dublin, İrlanda, 25 - 28 Eylül 2024, ss.519, (Özet Bildiri)
The impact of elimination diets in hashimoto's thyroiditis: a case report on immune function and herpes zoster infection
Introduction
Hashimoto's thyroiditis (HT) is an autoimmune disorder affecting the thyroid gland. Elimination diets have gained popularity among individuals with autoimmune diseases, including HT. However, these diets may lead to mineral and vitamin deficiencies, such as vitamin D deficiency, which can compromise immune function. This case study aims to explore the relationship between elimination diets, immune function, and the development of infections like herpes zoster in HT patients.
Case Presentation
A 49-year-old female patient with known HT and fatigue presented to our family medicine clinic for a routine check-up. She reported following an elimination diet for one year and taking supplements including selenium, magnesium, omega-3, and vitamin D. Besides HT, she had no other known medical conditions. The patient was also a regular smoker. She complained of itching on her back for one day. Physical examination revealed vesicular lesions on the right side of her back, consistent with herpes zoster. She was started on oral valacyclovir therapy and scheduled for follow-up. Blood tests revealed normal levels of inflammatory markers and electrolytes, but low levels of TSH, fT4, and vitamin B12.
Conclusion
Elimination diets, while potentially beneficial for Hashimoto's thyroiditis, may lead to nutritional deficiencies and compromise immune function, increasing the risk of infections like herpes zoster. It is essential for healthcare providers to be aware of these risks and monitor patients closely, ensuring adequate nutritional intake and immune support during dietary interventions. Further research is needed to determine the most beneficial dietary strategies for managing Hashimoto's thyroiditis while minimizing the risk of infections.