Thyroid disease

Ethnicity, TSH‐Receptor Antibody (TRAb) and Thyrotoxicosis Severity Are Determinants of Neutrophil Count in Newly Diagnosed Hyperthyroidism

Clin Endocrinol (Oxf)Published Retrospective cross-sectional study

Authors' conclusion

Graves' hyperthyroidism is associated with ANC decrease that is greatest when substantially high TRAb and FT4 coexist. ANC is further influenced by ethnicity.

Study context

Population
Adults with newly diagnosed hyperthyroidism (August 2020 to July 2025) with concurrently available free thyroxine (FT4), TRAb and absolute neutrophil count (ANC); euthyroid controls
Participants
237 adults
Exposure
Graves' disease (GD) vs non-GD hyperthyroidism
  • GDn = 152
  • non-GDn = 85reference
Outcome
Absolute neutrophil count (ANC)
Follow-up
Diagnosis
Methodological detailsethnicity-matched control cohort
  • Ethnicity-matched control cohort

Main finding

As reported in the abstract

P = 0.045

Observational data: associations, not effects.

Further findings

Low ANC < 2.0 × 10⁹/L

TRAb × FT4 interaction for ANC

Significant TRAb and FT4 interaction for ANC; higher FT4 associated with lower ANC in high TRAb, but not in TRAb-negative patients
P < 0.001

ANC by ethnicity

In hyperthyroidism and controls, Black ethnicities had lower ANC and higher prevalence of low ANC vs Asian or White ethnicities

ANC change in GD with low ANC at diagnosis · upon achieving euthyroidism

Mean ANC increase 1.14 × 109 (95% CI 0.50-1.77 × 109)
P = 0.002

Original publication

Ethnicity, TSH‐Receptor Antibody (TRAb) and Thyrotoxicosis Severity Are Determinants of Neutrophil Count in Newly Diagnosed Hyperthyroidism. Clin Endocrinol (Oxf). Published 29 April 2026. doi:10.1111/cen.70151

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