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儿童和青少年的哈西莫托甲状腺炎:长期病程分析
Ayşe Yaşar1, Esma Ebru Altun2, Fatma Güliz Atmaca1
1Department of Pediatric Endocrinology, University of Health Science Umraniye Training and Research Hospital, Istanbul, Türkiye.
Journal of pediatric endocrinology & metabolism : JPEM
|September 1, 2025
概括
儿童的哈西莫托甲状腺炎需要持续监测. 许多患有哈西莫托甲状腺炎的儿童可以在没有药物治疗的情况下治愈,并且自身抗体水平随着时间的推移而下降.
科学领域:
- 儿童内分泌学
- 自身免疫性疾病
- 甲状腺疾病
背景情况:
- 哈西莫托甲状腺炎 (HT) 是儿童和青少年常见的自身免疫甲状腺疾病.
- 了解儿童群体中HT的长期临床和生化进展对于有效的治疗至关重要.
研究的目的:
- 追溯评估儿童和青少年的长期临床和生化结果,诊断出哈西莫托甲状腺炎.
- 分析儿童HT患者的疾病进展,治疗反应和自身抗体趋势.
主要方法:
- 对233名被诊断患有HT的患者 (年龄在2至18岁) 进行了回顾性分析,并对其进行了至少3年的随访.
- 根据 TSH 和 fT4 的初始水平分为子组.
- 在基线和随访期间分析临床,实验室和放射学发现.
主要成果:
- 亚临床甲状腺功能低下是最常见的最初甲状腺状况 (39. 5%).
- 48. 4% 的患者在没有治疗的情况下进行监测,在五年内没有观察到功能恶化.
- 甲状腺自身抗体水平 (TPO-Ab,TG-Ab) 在第五年显著下降.
结论:
- 儿童的哈西莫托甲状腺炎是一种需要持续监测的动态状况.
- 定期的临床评估和甲状腺功能测试对于儿童HT的管理至关重要.
- 在某些情况下,长期随访表明疾病可能稳定或没有药物改善.
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