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在儿童中获得的甲状腺功能低下症
Shaila S Bhattacharyya1, Anshika Singh2
1Department of Pediatric Endocrinology, Manipal Hospital, Bengaluru, Karnataka, 560008, India. shailashamanur@gmail.com.
Indian journal of pediatrics
|May 31, 2023
概括
获得性甲状腺功能低下症或青少年甲状腺功能低下症是甲状腺激素缺乏导致的. 早期诊断和levothyroxine治疗对于儿童的正常生长和发育至关重要.
科学领域:
- 儿科 儿科 儿科
- 内分泌学 在内分泌学.
- 内部医学 内部医学
背景情况:
- 获得性甲状腺功能低下症,也称为青少年甲状腺功能低下症,源于甲状腺激素分泌不足.
- 这种情况可以导致细胞水平上的代谢和神经系统问题.
- 它通常在9-11岁之间表现出来,很少在4岁之前出现.
研究的目的:
- 概述了儿童和青少年获得性甲状腺功能低下症的表现,诊断和管理.
- 强调早期检测和适当治疗对于最佳结果的重要性.
主要方法:
- 诊断依赖于临床表现 (例如,生长不良,) 和甲状腺功能测试.
- 甲状腺激素水平 (T4,T3) 和甲状腺激素 (TSH) 是关键指标.
- 像Anti-TPO和Anti-TG抗体这样的自身免疫标记物有助于识别自身免疫性甲状腺功能低下症.
主要成果:
- 许多儿童 (80%) 在诊断时无症状.
- 中度至严重的病例可能表现为生长不良,便秘,昏迷或皮肤干燥.
- 初级甲状腺功能低下症显示TSH升高与T4/T3低;中央甲状腺功能低下症涉及垂体TSH缺乏.
结论:
- 获得的甲状腺功能低下症需要用levothyroxine替代疗法治疗.
- 定期监测甲状腺特征对于剂量调整至关重要.
- 个性化levothyroxine治疗对于确保正常生长和发育至关重要.
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