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(Division of Endocrinology, IPEMED Medical School, Sao Paulo, Brazil;Visiting Scientist, Harvard T. H. Chan School of Public Health, Harvard University, Boston, USA)

机构地区：[1]Division of Endocrinology, IPEMED Medical School, Sao Paulo, Brazil [2]Visiting Scientist, Harvard T. H. Chan School of Public Health, Harvard University, Boston, USA

出　　处：《Open Journal of Endocrine and Metabolic Diseases》2016年第1期72-77,共6页内分泌与新陈代谢疾病期刊（英文）

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.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.

关 键 词：Thyroid Gland Neonatal Screening HYPOTHYROIDISM Congenital Hypothyroidism Juvenile Hypothyroidism LEVOTHYROXINE 

分 类 号：R57[医药卫生—消化系统]