title: [Autoimmune comorbidity and microvascular complications in childhood-onset type 1 diabetes after 20 years of diabetes duration: a questionnaire study].
abstract: There are no population-based data on the autoimmune morbidity and vascular complications of young adults with childhood-onset type 1 diabetes in Hungary.
  
  
  OBJECTIVE
  To assess the prevalence of these morbidities after 20 years of diabetes duration.
  
  
  METHODS
  Postal questionnaire.
  
  
  RESULTS
  6.2% of the patients had celiac disease. Diabetes was diagnosed at a significantly earlier age in patients with diabetes and celiac disease as compared to those without celiac diasease. Thyroid autoimmunity was reported in 7.6% of cases. They were significantly older with longer duration of diabetes. Every fifth patients reported retinopathy, one sixth of patients was treated for hypertension. Neuropathy was found in 3.4% and kidney disease in 4.8% of the cases.
  
  
  CONCLUSIONS
  Apart from retinopathy and hypertension, the prevalence of microvascular complications was relatively low. Considering the limitations of questionnaire studies, laboratory screening is warranted to assess the true prevalence of comorbidities and complications.
authors.affiliation: Békés Megyei Képviselő-testület Pándy Kálmán Kórház, Gyermekosztály, Gyula. hajdukati.gyk@pandy.hu
authors.forename: Katalin
authors.initials: K
authors.lastname: H Nagy
authors.forename: Barnabás
authors.initials: B
authors.lastname: Rózsai
authors.forename: Kálmán
authors.initials: K
authors.lastname: Kürti
authors.forename: Ilona
authors.initials: I
authors.lastname: Rippl
authors.forename: Éva
authors.initials: É
authors.lastname: Erhardt
authors.forename: Adrienne
authors.initials: A
authors.lastname: Kozári
authors.forename: Erika
authors.initials: E
authors.lastname: Pákozdiné Vajda
authors.forename: Agnes
authors.initials: A
authors.lastname: Czvenitsné Árkus
authors.forename: Gyula
authors.initials: G
authors.lastname: Soltész
mesh_terms: D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D015551:Autoimmunity; D002446:Celiac Disease / Q000453:epidemiology / Q000276:immunology; D002648:Child; D002675:Child, Preschool; D015897:Comorbidity; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000453:epidemiology*; D003925:Diabetic Angiopathies / Q000453:epidemiology*; D003928:Diabetic Nephropathies / Q000453:epidemiology / Q000276:immunology; D003929:Diabetic Neuropathies / Q000453:epidemiology / Q000276:immunology; D003930:Diabetic Retinopathy / Q000453:epidemiology / Q000276:immunology; D005260:Female; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D006973:Hypertension / Q000453:epidemiology / Q000276:immunology; D008297:Male; D008833:Microcirculation; D015995:Prevalence; D011795:Surveys and Questionnaires; D013967:Thyroiditis, Autoimmune / Q000453:epidemiology; D013997:Time Factors; D055815:Young Adult