甲状腺特征评估1至15岁患有性综合征的儿童:一项观察性研究
Priyanka Kumari1, Amit Agrawal2, Jyotsna Shrivastava1
1Department of Pediatrics, Gandhi Medical College, Bhopal 462030, India.
World journal of clinical pediatrics
|October 1, 2024
概括
甲状腺功能障碍在患有性综合征的儿童中很常见,特别是在频繁复发的情况下. 建议早期进行甲状腺查,以及时检测和管理这些患者的甲状腺功能低下症.
科学领域:
- 儿科脏病学 儿科脏病学
- 内分泌学 在内分泌学.
- 临床医学 临床医学
背景情况:
- 脏和甲状腺有着至关重要的双向关系.
- 性综合征可以导致甲状腺功能低下,这是由于蛋白尿导致的蛋白质损失.
研究的目的:
- 为了评估诊断患有性综合征的儿科患者的甲状腺功能.
主要方法:
- 一项涉及70名患有瘤综合征的儿童 (年龄为1至15岁) 的横截面研究.
- 甲状腺特征评估,包括甲状腺激素和TSH水平.
- 在新诊断,复发和经常复发的病例中分析甲状腺状况.
主要成果:
- 超过一半 (55.7%) 的患者表现出异常的甲状腺特征.
- 过度的甲状腺功能低下症在27.1%的患者中流行,亚临床的甲状腺功能低下症在28.6%的患者中流行.
- 与新诊断的病例相比,频繁复发的病例显示自由T3/T4显著降低,TSH水平更高.
结论:
- 甲状腺功能异常在儿科性综合征中很常见.
- 过度的甲状腺功能低下症在经常复发的儿童中更为常见.
- 建议进行常规甲状腺查,以早期发现和治疗脏综合征中甲状腺功能低下症.
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