Jentsch E, Stubbe P, Heidemann P, Droese M
Dtsch Med Wochenschr. 1979 Jun 8;104(23):838-41. doi: 10.1055/s-0028-1103998.
Clinical, cytological, serological and endocrinological examinations were performed on 50 previously untreated children and adolescent with goitre. Three girls were found to have the cytological picture of Hashimoto's thyroiditis, in one instance associated with Turner's syndrome and hyperthyroidism. Two other girls presented with hyperthyroidism. In the remaining 45 patients thyroid aspirates and thyroid hormone levels were normal. The girl with Turner's syndrome, hyperthyroidism and Hashimoto's thyroiditis had thyroglobulin antibodies. It is the authors' experience that the diagnosis of Hashimoto's thyroiditis can be made only by needle biopsy of the thyroid. If iodination of cooking and table salt were to become widespread in the Federal Republic of Germany, and increased incidence of Hashimoto's thyroiditis is to be expected amount children with goitre.
对50名先前未经治疗的甲状腺肿儿童和青少年进行了临床、细胞学、血清学和内分泌学检查。发现3名女孩具有桥本甲状腺炎的细胞学表现,其中1例与特纳综合征和甲状腺功能亢进有关。另外两名女孩患有甲状腺功能亢进。其余45例患者的甲状腺穿刺物和甲状腺激素水平正常。患有特纳综合征、甲状腺功能亢进和桥本甲状腺炎的女孩有甲状腺球蛋白抗体。作者的经验是,仅通过甲状腺针吸活检才能诊断桥本甲状腺炎。如果在德意志联邦共和国烹饪盐和食用盐的碘化变得普遍,预计甲状腺肿儿童中桥本甲状腺炎的发病率会增加。