Although autoimmune thyroid diseases have been associated with systemi
c lupus erythematosus (SLE), the prevalence of thyroid disorder is con
troversial. To clarify the prevalence of thyroid disorder in Korean pa
tients with SLE, thyroid functions and diseases were evaluated in 63 S
LE patients. Of these patients, Hashimoto's thyroiditis (9.5%) as well
as euthyroid sick syndrome (14.3%) were more common than Graves' dise
ase (4.8%). The prevalence of antithyroid autoantibodies (antimicrosom
al and/or antithyroglobulin autoantibodies) in SLE was 27.0%. High tit
ers of these autoantibodies were mainly detected in Hashimoto's thyroi
ditis. These results suggested that thyroid diseases are not uncommon
in SLE and autoimmune thyroid diseases are possible manifestations in
some patients with SLE. Antithyroid autoantibodies may be good predict
ors for the detection of Hashimoto's thyroiditis developing in SLE.