A high frequency of hepatitis C antibodies has been reported from Fran
ce in patients with autoimmune thyroiditis. Two cases of Hashimoto's t
hyroiditis in association with chronic active hepatitis and hepatitis
C infection have also been reported. We have examined this potential a
ssociation in 46 patients with autoimmune hypothyroidism and found tha
t 16 apparently had hepatitis C antibodies in one of the two commercia
lly available enzyme-linked immunosorbent assays (ELISA), but all pati
ents were negative in a confirmatory commercially available recombinan
t immunoblot assay (RIBA-3) indicating that none of the patients were
truly positive for hepatitis C antibodies. We also tested sera from 11
1 patients with proven hepatitis C infection and found no increased pr
evalence of thyroid autoantibodies. These results suggest that hepatit
is C infection is not a risk factor for the development of thyroid aut
oimmunity in the United Kingdom.