Paediatric thyroid disease

Timothy Cheetham1, Claire Wood1

  • 1Newcastle University and Great North Children's Hospital, Newcastle upon Tyne, UK.

PubMed

Insights

Pediatric thyroid disorders differ from adult cases, including congenital hypothyroidism and inherited defects. Autoimmune thyroid disease management in children requires careful consideration of neurodevelopmental and educational impacts.

Area of Science:

  • Pediatric endocrinology
  • Thyroidology
  • Developmental pediatrics

Background:

  • Thyroid disorders in children present unique challenges compared to adults.
  • Neonatal screening identifies congenital hypothyroidism, necessitating early intervention.
  • Inherited defects in thyroid hormone synthesis or action often manifest in early childhood.

Purpose of the Study:

  • To outline the distinct spectrum of thyroid disorders encountered in pediatric practice.
  • To highlight the importance of early detection and management of congenital and inherited thyroid conditions.
  • To emphasize the complexities of managing autoimmune thyroid disease in children and its developmental implications.

Main Methods:

  • Review of pediatric thyroid disorder cases and referral patterns.
  • Analysis of neonatal screening data for congenital hypothyroidism.
  • Discussion of clinical considerations for autoimmune thyroid disease in pediatric populations.

Main Results:

  • Congenital hypothyroidism and inherited thyroid defects are significant pediatric concerns.
  • Autoimmune thyroid disease presents unique management challenges in young patients.
  • Thyroid status critically influences neurodevelopment and academic performance in children.

Conclusions:

  • Pediatric thyroid disorders require specialized diagnostic and management approaches.
  • Early identification and treatment are crucial for optimizing outcomes in congenital and inherited thyroid diseases.
  • Long-term monitoring is essential to address the impact of thyroid dysfunction on child development and education.

Related Concept Videos

Functions of Thyroid Hormones01:18

Functions of Thyroid Hormones

The thyroid hormone (TH) plays a pivotal role in the intricate orchestration of physiological processes, exerting profound effects on development, metabolism, and homeostasis throughout different life stages.
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
2.6K
The Thyroid Gland01:23

The Thyroid Gland

The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
3.8K
Synthesis and Regulation of Thyroid Hormones01:20

Synthesis and Regulation of Thyroid Hormones

Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
4.4K
The Parathyroid Glands00:59

The Parathyroid Glands

The two pairs of parathyroid glands embedded within the posterior surface of the thyroid gland are restricted by a dense capsule around them. These glands comprise two distinct cell populations—parathyroid oxyphil and parathyroid principal cells- pivotal in calcium homeostasis.
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
2.0K
Adrenal Gland Disorders01:27

Adrenal Gland Disorders

Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
1.4K
Major Hormones and Their Functions01:27

Major Hormones and Their Functions

Hormones, the biochemical messengers produced by endocrine glands, are pivotal in regulating bodily functions and maintaining homeostasis. Each hormone's balance is crucial; imbalances can lead to significant physiological disruptions. Major hormones include oxytocin, cortisol, epinephrine, estrogen, testosterone, thyroxine, growth hormone, insulin, and glucagon.
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
357