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小儿甲状腺炎的叙述性综述:诊断与管理

Narrative review of pediatric thyroiditis: Diagnosis and management.

作者信息

Sakharkar M, Chavez M, Levi J R

机构信息

Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA.

Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA; Department of Otolaryngology - Head and Neck Surgery, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA.

出版信息

Am J Otolaryngol. 2025 Mar-Apr;46(2):104599. doi: 10.1016/j.amjoto.2025.104599. Epub 2025 Jan 15.

Abstract

OBJECTIVE

To the best of the authors' knowledge, no current literature reviews on pediatric thyroiditis exist. Our aim is to present relevant and updated information on pediatric thyroiditis subtypes and presentations.

DATA SOURCES

A narrative review was performed using PubMed and Embase.

REVIEW METHODS

A narrative literature review was performed to find articles in two databases: PubMed and Embase that discussed the various subtypes of thyroiditis in pediatric patients. Relevant key terms included: thyroiditis, pediatric, children, clinical findings, autoimmune thyroiditis, prevalence, and etiology.

DISCUSSION

112 articles were included in this review. The subtypes and clinical presentations of pediatric thyroiditis were highlighted to demonstrate that thyroid dysfunction can have unique wide-ranging effects compared to adult populations. Recommendations on diagnostic algorithms, management, and clinical consequences of delayed treatment are discussed.

CONCLUSIONS

Thyroid hormones are incredibly vital to the development of a child. It is important to identify and prevent long-term consequences clinically by implementing early treatment through awareness of these differences in clinical practice.

摘要

目的

据作者所知,目前尚无关于小儿甲状腺炎的文献综述。我们的目的是提供有关小儿甲状腺炎亚型及表现的相关且最新的信息。

数据来源

使用PubMed和Embase进行叙述性综述。

综述方法

进行叙述性文献综述,以在两个数据库(PubMed和Embase)中查找讨论小儿患者甲状腺炎各种亚型的文章。相关关键词包括:甲状腺炎、儿科、儿童、临床发现、自身免疫性甲状腺炎、患病率和病因。

讨论

本综述纳入了112篇文章。强调了小儿甲状腺炎的亚型和临床表现,以表明与成人相比,甲状腺功能障碍可能产生独特且广泛的影响。讨论了关于诊断算法、管理以及延迟治疗的临床后果的建议。

结论

甲状腺激素对儿童发育极其重要。通过在临床实践中认识到这些差异并实施早期治疗来识别和预防长期后果很重要。

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