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Hypothyroidism in Childhood and Adolescence

Hypothyroidism in Childhood and Adolescence

作     者:Deise Dutra Terra Carvalho Denise Rosso Tenório Wanderley Rocha Alberto Krayyem Arbex Deise Dutra Terra Carvalho;Denise Rosso Tenório Wanderley Rocha;Alberto Krayyem Arbex

作者机构:Division of Endocrinology IPEMED Medical School Sao Paulo Brazil Visiting Scientist Harvard T. H. Chan School of Public Health Harvard University Boston USA 

出 版 物:《Open Journal of Endocrine and Metabolic Diseases》 (内分泌与新陈代谢疾病期刊(英文))

年 卷 期:2016年第6卷第1期

页      面:72-77页

学科分类:1002[医学-临床医学] 100201[医学-内科学(含:心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主  题:Thyroid Gland Neonatal Screening Hypothyroidism Congenital Hypothyroidism Juvenile Hypothyroidism Levothyroxine 

摘      要:Juvenile hypothyroidism is an unfrequent form of hypothyroidism that affects children. If not diagnosed and treated properly, it may cause severe neurological disorders during growth. The most frequent difficulties are found in school performance, difficulties in concentration, hyperactivity or fatigue and damage on the onset of puberty. Starting levothyroxine as a drug of choice is essential, and it should be made according to the age and weight of the child. Laboratory tests for control should be requested periodically, along with a strict control of the child’s development and growth. The family-doctor relationship, along with a clear guidance on the importance of treatment, is critical to achieve a successful treatment. This article is a review about the main clinical features of hypothyroidism in childhood, especially in developing countries, providing key aspects of adherence and characteristics of its follow-up.

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