Autoimmune thyroid diseases and diabetes mellitus exist together more often in comparison to other diseases. The existence ratio increases with age and affects autoimmune diabetics and females the most (1), while thyroid disorders are observed in about 10-15% of patients with diabetes mellitus and 6% of non-diabetics (2). Hashimoto's thyroiditis (HT), also known as chronic lymphocytic thyroiditis or chronic autoimmune thyroiditis (3), is the most common autoimmune thyroid disease, affecting up to 10% of the general population. It is more prevalent in females than in males (4, 5). HT is characterized by the development of autoantibodies against thyroid peroxidase (TPO), thyroglobulin, and thyroid stimulating hormone receptor (TSHR) autoantigens. T cells play a vital role in the pathogenesis of the disease by reacting with thyroid antigens and secreting inflammatory cytokines. So, lymphocytic infiltration of the thyroid, gradual loss of thyroid function and goiter are frequently observed (4). Also, a hypoechogenic and inhomogeneous parenchyma can appear in ultrasound observation of the thyroid gland (5).The observation of thyroid dysfunction in patients with type 1 diabetes mellitus (T1DM) is more frequent than those with type 2 diabetes mellitus (T2DM). Moreover, more than Background: A protein tyrosine phosphatase non-receptor type 22 (PTPN22) C1858T gene polymorphism has been reported to be associated with both Type 2 diabetes mellitus (T2DM) and Hashimoto's thyroiditis (HT) separately. However, no study has been conducted to explore the C1858T polymorphism in T2DM and HT coexistent cases up to now. Aims: The study aimed to determine whether a relationship exists or not between the PTPN22 C1858T polymorphism and this coexistent patient group. Study Design: Case-control study. Methods: Peripheral blood samples from 135 T2DM patients, 102 patients with coexistent T2DM+HT, 71 HT patients and 135 healthy controls were collected into ethylenediaminetetraacetic acid (EDTA) anticoagulant tubes and genomic DNA was extracted. The PTPN22 C1858T polymorphism was analyzed using polymerase chain reaction (PCR) restriction fragment length polymorphism (RFLP) methods. Results: Statistically significant differences were not observed between the patient and control groups. This study demonstrated a statistically significant association between both the CT genotype and the T allele in the female patient group with coexistent T2DM+HT (CT genotype: p=0.04; T allele: p=0.045) with a statistically significant association between the CT genotype and the mean values of body mass index (BMI) and free T3 levels (FT3) (BMI: p=0.044 and FT3: p=0.021) that was detected in the patient group with coexistent T2DM+HT. The minor genotype TT was observed in none of the groups in this study. The CT genotype frequency was [number (frequency): 5 (3.8%), 7 (6.86%), 5 (7.04%), 3 (2.22%), while the T allele frequency was 5 (1.86%), 7 (3.44%), 5 (3.53%) and 3 (1.12%)] in the T2DM, T2DM+HT, HT and control groups, respectively. Conclusion: Our data sugge...