Clinical guidelines «Thyroiditis in children»

Peterkova, Valentina; Безлепкина, О. Б.; Nagaeva, Elena; Shiryaeva, Tatyana; Chikulaeva, Olga; Vadina, T A; Shreder, E. V.; Taranushenko, T. E.; Petryaykina, E E; Malievsky, Oleg; Kiyaev, A V; Коstrova, Irina B.; Bashnina, Elena; Mikhailova, E. G.; Girsh, Ya.V.; Храмова, Е. Б.; Алимова, И Л; Самсонова, Л. Н.; Болотова, Н. В.

doi:10.14341/ket12711

Clin Exp Thyroid

2021

DOI: 10.14341/ket12711

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Clinical guidelines «Thyroiditis in children»

Valentina Peterkova

О. Б. Безлепкина

Elena Nagaeva

et al.

Abstract: The thyroiditis in children are urgent problem of pediatric endocrinology due to the widespread occurrence and characterized by clinical and pathogenetic heterogeneity. The developed clinical guidelines are the main working tool of the practitioner. They briefly and structurally present the main information about the epidemiology and modern classification of thyroiditis, methods of their diagnosis and treatment based on the principles of evidence-based medicine.

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Cited by 4 publications

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Acute suppurative thyroiditis in a 10-year-old child

Pisklakov,

Ponomarev,

Isakov

et al. 2023

Russian Journal of Pediatric Surgery

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BACKGROUND: Acute suppurative thyroiditis in children is a rare and potentially life-threatening thyroid disease that requires rapid diagnostics and treatment. CLINICAL CASE DESCRIPTION: A clinical case of a 10-year-old girl with a thyroid abscess is described. She had fever, painful neck swelling, sore throat, tachycardia, restricted neck movement, and dysphagia for 6–7 days. The treatment consisted of antibiotic therapy, incision and drainage of the abscess using local ozone therapy. It was found that causative agents were Staphylococcus aureus and Escherichia coli. The girl had a follow-up examination in 9 months after the discharge — there were no signs of thyroid pathology. CONCLUSION: Although acute suppurative thyroiditis is extremely rare in children, it occurs sometimes. Since this condition may be associated with a piriform sinus fistula, the child must be examined for it because of the risk of recurrence.

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Acute suppurative thyroiditis in a 10-year-old child

Pisklakov,

Ponomarev,

Isakov

et al. 2023

Russian Journal of Pediatric Surgery

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Pathological damage of thyroidopathy and the prevalence of thyroid diseases in children of the Perm region

Shtina

Valina

Ivashova

et al. 2022

Acta biomedica scientifica

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Relevance. Thyroid diseases in children and adolescents rank first in the structure of endocrine pathology. An issue related to comparability of data on prevalence obtained with different procedures is vital given the necessity to intensify activities aimed at optimizing prevention of thyroid pathology.The aim. Comparative analysis of pathological lesions of thyropathies and the prevalence of thyroid gland diseases in children and adolescents living in the territory of the Perm region.Materials and methods. Prevalence of thyroid diseases was analyzed based on data taken from Statistic Form No. 12. Pathological damage caused by thyroid diseases was calculated based on results produced by medical examinations that included laboratory tests, ultrasound scanning of the thyroid gland, and a check-up by an endocrinologist. Calculation results were then compared with data taken from statistic reports. Influence exerted by sex and age on the growth in thyrotrophic hormone contents and thyroid gland volume was assessed by analyzing values in one-factor logistic regression models.Results. Prevalence of thyroid diseases, endemic goiter and subclinical hypothyroidism tends to decrease among children living in Perm region (р = 0.003–0.015) but prevalence of thyroiditis remains stable (р = 0.794). Having assessed prevalence among teenagers, we did not reveal any dynamics in prevalence of thyroid diseases and thyroiditis (р = 0.129–0.248); prevalence of endemic goiter went down in this age group (р = 0.008) whereas prevalence of subclinical hypothyroidism grew due to iodine deficiency (р = 0.012). The difference between pathological damage and prevalence of thyroid diseases reached 4.8–38.6 times. Having analyzed created logistic models, we were not able to identify sex or age as predictors of thyroid pathology occurrence.Conclusion. Prevalence of thyroid pathology was established to be by 4.8–38.6 times lower than pathological damage. Iodine deficiency on a given territory calls for developing regional medical and prevention programs aimed at diagnosing and preventing thyroid diseases caused by it.

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Analysis of the functional state of the thyroid gland in children who underwent COVID-19

Lazareva¹,

Евсеева²,

Rakitskaya

et al. 2023

Bûlletenʹ fiziologii i patologii dyhaniâ

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Introduction. Extrapulmonary manifestations of COVID-19 may include endocrine forms, including diseases of the pancreas, pituitary gland, gonads, and thyroid gland. The direct cytopathic effect of the virus lies in its ability to enter cells through the ACE-2 receptor located on the epithelial and endothelial cells of the endocrine glands, followed by expression, which creates the possibility of the development and progression of damage to the endocrine system, both inflammatory and autoimmune. Until now, it has not been fully studied what changes in the state of health await children and teenagers in the post-COVID period, the dynamics of changes in the functional state of the thyroid gland in children and adolescents living in the region of endemic goiter (Far Eastern Federal District) has not been assessed. Aim. To assess of thyroid dysfunction in children who have had COVID-19. Materials and methods. The clinic performed a clinical and laboratory examination of 41 children aged 5-17 years who had a new coronavirus infection. Hormones were determined using the test systems of “AlkorBio” (St. Petersburg) on a microplate reader Stat-Fax 2100 (USA): thyroid stimulating hormone (µU/mL), free thyroxine (pmol/L), thyroid peroxidase antibodies. Results. It was determined that some children had clinical symptoms that may be associated with a possible involvement of the thyroid system: severe fatigue (61.0%), drowsiness (48.8%), memory loss (26.8%), depressed mood (14.6%), hair loss (14.6%), chilliness (4.9%), dry skin (4.9%). Ultrasound of the thyroid gland revealed a decrease in the volume of the gland in 46.3% and a diffuse enlargement of the thyroid gland in 9.8% of patients. In 33.3% of patients, the level of thyroid stimulating hormone in blood serum exceeded 3.4 mcU/mL, with a normal level of free thyroxine, which corresponds to subclinical hypothyroidism. Conclusion. The obtained data suggest the possibility of subclinical dysfunction of the thyroid gland in children who have had a coronavirus infection. Based on the pathophysiology of SARS-CoV-2 infection, with the presence of clinical complaints, it is necessary to conduct a routine assessment of thyroid function in patients in the recovery and convalescence phase after COVID-19. Future prospective studies are needed to improve epidemiological and clinical knowledge and optimize the management of endocrine diseases in patients with COVID-19.

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Clinical guidelines «Thyroiditis in children»

Cited by 4 publications

References 20 publications

Acute suppurative thyroiditis in a 10-year-old child

Acute suppurative thyroiditis in a 10-year-old child

Pathological damage of thyroidopathy and the prevalence of thyroid diseases in children of the Perm region

Analysis of the functional state of the thyroid gland in children who underwent COVID-19

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