Atrophic Gastritis and Hashimoto's Thyroiditis Association
Introduction to the Association
- Atrophic gastritis is strongly associated with Hashimoto's thyroiditis, with up to one-third of patients with autoimmune thyroid disease having autoimmune gastritis, as noted by the American Gastroenterological Association 1, 2
Epidemiological Evidence
- Approximately one-third of patients with autoimmune thyroid disease have autoimmune gastritis, according to the American Gastroenterological Association 1
Clinical Implications
- Patients with autoimmune gastritis should be screened for autoimmune thyroid disease due to this strong association, as recommended by the American Gastroenterological Association 5, 6
- Micronutrient deficiencies, particularly iron and vitamin B12, can occur due to this co-occurrence, as reported by the American Gastroenterological Association 4, 5
Diagnostic Considerations
- In patients with Hashimoto's thyroiditis who have unexplained iron or vitamin B12 deficiency, atrophic gastritis should be considered, as suggested by the American Gastroenterological Association 5
Management Recommendations
- Patients with autoimmune gastritis should undergo screening for autoimmune thyroid disease, as recommended by the American Gastroenterological Association 1, 7
- Evaluation for iron and vitamin B12 deficiencies should be performed in patients with atrophic gastritis, especially if corpus-predominant, as recommended by the American Gastroenterological Association 1