All patients were subjected to history taking and physical examination with emphasis on history of autoimmune disease, extraintestinal manifestations of IBD, neck examination for goiter, symptoms and signs of thyroid dysfunction.~b) Laboratory investigations: Thyroid function test (include T3-T4- TSH)~ESR - CRP - thyroid antibodies: (Anti TPO -Anti Thyroglobulin)~c)-Imaging:~Neck U/S on thyroid gland to identify patients with ultrasonographic evidence of autoimmune thyroiditis (diffuse hypoechogenicity or heterogenicity echotexture or both) and to detect thyroid nodularity.~d ) Endoscopic findings regarding diagnosis of IBD confirmed by histopathological examination
. The aim of the present study is to study thyroid state in patients with IBD