相关实验视频
Updated: Jun 8, 2025

04:39
Generation of a Mouse Spontaneous Autoimmune Thyroiditis Model
Published on: March 17, 2023
1.6K
在停止服用levothyroxine后,甲状腺功能障碍的预测因子在患有哈希莫托甲状腺炎的儿童和青少年中
Min Jee Kim1, Yun Jeong Lee2, Yunsoo Choe3
1Department of Pediatrics, Dongguk University Ilsan Hospital, Goyang, Korea.
Annals of pediatric endocrinology & metabolism
|November 7, 2024
概括
在患有哈西莫托甲状腺炎 (HT) 的儿童中,停止使用levothyroxine (L-T4) 通常会导致甲状腺功能障碍. 在停止治疗时TSH水平较低的老年儿童中,成功戒断的可能性更大.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 甲状腺学 甲状腺学
- 临床医学 临床医学
背景情况:
- 利沃甲状腺素 (L-T4) 是小儿甲状腺功能低下症的标准治疗方法.
- 关于在儿科哈西莫托甲状腺炎 (HT) 中成功停止L-T4治疗的临床过程和预测因素的数据有限.
研究的目的:
- 调查L-T4停止治疗HT儿童的结果.
- 在这个人群中确定成功戒断L-T4治疗的预测因素.
主要方法:
- 对47名试图停止L-T4治疗的儿科HT患者的回顾性分析.
- 随访以评估甲状腺功能和需要重新启动L-T4.
- 统计分析以确定甲状腺功能障碍和L-T4重启的预测因素.
主要成果:
- 70.2%的患者在停止L-T4治疗后出现甲状腺功能障碍.
- 36.2%的患者需要重新开始L-T4治疗.
- 甲状腺功能障碍的预测因素包括在开始时高的TSH水平,在停止治疗时更年轻的年龄和在停止治疗时更高的TSH水平.
结论:
- 在儿科HT中停用L-T4经常导致甲状腺功能障碍.
- 年龄较大和在停药时TSH水平较低与成功戒断有关.
- 仔细监测对于试图停止L-T4治疗的小儿HT患者至关重要.
相关概念视频
Synthesis and Regulation of Thyroid Hormones
4.2K
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...
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...
4.2K
Functions of Thyroid Hormones
2.6K
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...
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
Major Hormones and Their Functions
333
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...
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
333
Adrenal Gland Disorders
1.4K
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...
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
Hormones and Bone Tissue
2.6K
The endocrine system produces and secretes hormones, which interact with the skeletal system. These hormones control bone growth, maintain bone once it is formed, and remodel it.
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
2.6K
Autoimmune Disorders
390
Autoimmune diseases are a group of disorders in which the body's immune system mistakenly attacks its own cells, tissues, and organs. This results from an overactive immune response against substances and tissues normally present in the body. Let's delve into the concept and mechanism of autoimmune diseases from an immune system point of view, explore different causes and examples of such diseases, and discuss potential solutions.
Concept and Mechanism of Autoimmune Diseases
The immune...
Concept and Mechanism of Autoimmune Diseases
The immune...
390

