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儿童亚临床甲状腺功能减退症:它总是亚临床的吗?

Subclinical hypothyroidism in children: is it always subclinical?

机构信息

UOC Pediatria, Department of Human Pathology of Adulthood and Childhood, University of Messina, via Consolare Valeria, 98125, Messina, Italy.

出版信息

Ital J Pediatr. 2018 Feb 17;44(1):25. doi: 10.1186/s13052-018-0462-4.

DOI:10.1186/s13052-018-0462-4
PMID:29454373
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5816505/
Abstract

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.

摘要

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。

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本文引用的文献

1
Analysis of the factors affecting the evolution over time of subclinical hypothyroidism in children.儿童亚临床甲状腺功能减退症随时间演变的影响因素分析。
Ital J Pediatr. 2017 Jan 3;43(1):2. doi: 10.1186/s13052-016-0322-z.
2
Five-Year Prospective Evaluation of Thyroid Function Test Evolution in Children with Hashimoto's Thyroiditis Presenting with Either Euthyroidism or Subclinical Hypothyroidism.对表现为甲状腺功能正常或亚临床甲状腺功能减退的桥本甲状腺炎患儿甲状腺功能检查变化的五年前瞻性评估。
Thyroid. 2016 Oct;26(10):1450-1456. doi: 10.1089/thy.2016.0080. Epub 2016 Sep 13.
3
Subclinical hypothyroidism in childhood - current knowledge and open issues.儿童亚临床甲状腺功能减退症 - 现有知识和未解决的问题。
Nat Rev Endocrinol. 2016 Dec;12(12):734-746. doi: 10.1038/nrendo.2016.100. Epub 2016 Jul 1.
4
Effects of L-thyroxine treatment on early markers of atherosclerotic disease in children with subclinical hypothyroidism.左甲状腺素治疗对亚临床甲状腺功能减退症儿童动脉粥样硬化疾病早期标志物的影响。
Eur J Endocrinol. 2016 Jul;175(1):11-9. doi: 10.1530/EJE-15-0833. Epub 2016 Apr 11.
5
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Eur J Endocrinol. 2015 Dec;173(6):801-8. doi: 10.1530/EJE-15-0484. Epub 2015 Sep 15.
6
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Pediatr Clin North Am. 2015 Aug;62(4):929-42. doi: 10.1016/j.pcl.2015.04.008. Epub 2015 Jun 24.
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Peculiarities of autoimmune thyroid diseases in children with Turner or Down syndrome: an overview.特纳综合征或唐氏综合征患儿自身免疫性甲状腺疾病的特点:综述
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J Clin Endocrinol Metab. 2015 Jun;100(6):2181-91. doi: 10.1210/jc.2015-1438. Epub 2015 Apr 9.
9
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Thyroid. 2015 Feb;25(2):183-7. doi: 10.1089/thy.2014.0235. Epub 2014 Dec 2.
10
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Int J Endocrinol. 2014;2014:289503. doi: 10.1155/2014/289503. Epub 2014 Aug 21.