UOC Pediatria, Department of Human Pathology of Adulthood and Childhood, University of Messina, via Consolare Valeria, 98125, Messina, Italy.
Ital J Pediatr. 2018 Feb 17;44(1):25. doi: 10.1186/s13052-018-0462-4.
Aim of this commentary is to report current knowledges on the main clinical and metabolic abnormalities which might be observed in children with longstanding and untreated subclinical hypothyroidism (SH) and to comment the most recent views about natural evolution of thyroid function in the cases with either idiopathic or Hashimoto's thyroiditis-related SH. On the basis of these preliminary remarks, the essential guidelines for an appropriate and tailored management of SH children are also proposed.
本评论旨在报告长期未经治疗的亚临床甲状腺功能减退症(SH)患儿可能出现的主要临床和代谢异常的现有知识,并对特发性或桥本甲状腺炎相关 SH 病例甲状腺功能的自然演变的最新观点进行评论。在此基础上,还提出了 SH 儿童适当和个体化管理的基本指南。