Evaluatıon Of Clınıcal And Laboratory Fındıngs Of Children And Adolescent Patıents Wıth Hashımoto Thyroıdıtıs

Year 2019, Volume: 7 Issue: Ek - IRUPEC 2019 Kongresi Tam Metin Bildirileri, 427 - 431, 10.12.2019

Abdulvahit Aşık , Semih Bolu

Abstract

Objective:
The purpose of this study was to evaluate the clinical and laboratory findings of 73 children and adolescents followed-up with a diagnosis of Hashimoto’s thyroiditis.
Methods: Seventy-three patients aged between 4 and 18 years followed-up with a diagnosis of Hashimoto’s thyroiditis at the pediatric endocrinology clinic between 2016 and 2019 were included in the study. All patients’ thyroid function tests, thyroid antibodies, physical examination findings and thyroid ultrasonography results at diagnosis and follow-up were evaluated.

Results:
Fifty-seven (78.1%) patients were girls and 12 (21.9%) were boys, with a female/male ratio of 3.5/1. Goiter was detected at time of diagnosis in 25 cases (34.2%), but not in 48 (65/8%). At time of diagnosis, hyperthyroidism was present in 13 cases (17.8%), hypothyroidism in 16 (22%), subclinical hypothyroidism in 9 (12.3%), euthyroidism in 33 (45.2%), and subclinical hyperthyroidism in 2 (2.7%). The most common symptoms at time of presentation were swelling in the neck, sweating, fatigue, and lack of appetite. Heterogeneity and a hypoechoic appearance were observed in 77% of cases and nodules in 11% at thyroid ultrasonographic examination, while no pathology was determined in 12%.

Conclusions:
Children and adolescents with Hashimoto’s thyroiditis may exhibit different and clinical findings. Thyroid ultrasonography occupies an important place in the diagnosis and follow-up of the disease.
Key words: Hashimoto’s thyroiditis, child, adolescent

Keywords

Evaluatıon Of

References

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