获得性甲状腺功能低下症儿童的成长结果和最终身高:系统性审查
Ignazio Cammisa1, Donato Rigante1,2, Clelia Cipolla1
1Department of Life Sciences and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.
Children (Basel, Switzerland)
|January 8, 2025
概括
儿童获得的甲状腺功能低下症会导致增长延迟和身高下降. 早期诊断和治疗至关重要,但即使使用甲状腺激素替代疗法,也不能总是完全恢复生长.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 增长和发展 增长和发展
- 甲状腺疾病 甲状腺疾病
背景情况:
- 获得性甲状腺功能低下症显著影响儿童的体质生长和身高.
- 与通过新生儿查检测的先天性甲状腺功能低下症不同,获得的形式往往以潜伏的方式出现,诊断延迟.
- 受影响的儿童可能会经历增长延迟和身高下降,最初往往保持无症状.
研究的目的:
- 审查当前关于获得性甲状腺功能低下症对儿科生长结果影响的知识.
- 分析获得性甲状腺功能低下症的儿童的成长和最终身高.
主要方法:
- 通过使用与甲状腺功能低下症和生长参数相关的关键词进行了文献综述.
- 选择了16项相关研究,并对其关于受影响儿童生长和身高的发现进行了分析.
主要成果:
- 增长停滞是一个常见的症状,许多儿童身高低于第三百分位.
- 诊断时间是关键的;青春期诊断导致由于骨成熟的晚期,追赶增长较少.
- 虽然甲状腺素治疗促进了追赶生长,但它可能是不完整的,最终的高度可能无法达到遗传潜力.
结论:
- 获得性甲状腺功能低下症的早期诊断和及时治疗对于优化生长结果至关重要.
- 尽管有治疗,但可能并不总能实现生长的完全正常化,这凸显了这种疾病的长期影响.
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