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[Hypothyroidism in children. 82 cases]
Mongia Hachicha1, Abdelmajid Mahfoudh, Fatma Loulou
1Service de Pediatrie, CHU Hedi Chaker-Sfax, Tunisie.
Insights
Early diagnosis and treatment of childhood hypothyroidism are crucial for favorable neuropsychiatric outcomes. This study highlights the importance of timely intervention for affected children to prevent developmental delays.
Area of Science:
- Pediatric Endocrinology
- Clinical Research
Context:
- Hypothyroidism is a common endocrine disorder in children.
- This retrospective study analyzed 67 pediatric cases over 23 years.
Purpose:
- To evaluate the clinical presentation, treatment, and outcomes of childhood hypothyroidism.
- To emphasize the significance of early diagnosis and intervention.
Summary:
- The study identified key clinical symptoms including dysmorphic syndrome and macroglossia.
- Thyroid function tests revealed low FT4/T4 and high TSH in most patients.
- Treatment evolved from thyroid extract to L-Thyroxine, with varying neuropsychiatric and growth outcomes.
Impact:
- Highlights the necessity of prompt diagnosis and treatment for improved neuropsychiatric development in children with hypothyroidism.
- Informs clinical practice regarding the long-term management and prognosis of pediatric hypothyroidism.
Abstract:
The hypothyroidism is a frequent endocrinopathos. The authors report a retrospective study of 67 cases gathered at pediatric department of Sfax, during 23 years. 40 boys and 42 girls aged from 1 to 164 months, with an average of 55 months old children. The most clinical symptoms have been the dysmorphic syndrome (81.17%), Huge tongue (59.75%), the T3 is low in 30.48%, the FT4 or the T4 is low in 79% and the TSH is high in 84.14%. All the patients have benefitted a treatment based on thyroidian extract from 1977 to 1984, and since 1985 it was based on L. Thyroxin. The neuropsychiatric prognosis satisfactory in 72% and 28% have a mental delay and 56% a delay in growth. The authors insist on the necessity of doing an early diagnosis and treatment which is the only way and issue leading to a favorable neuropsychiatric evolution.
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