Open AccessRole of a follow-up in puberty children with diffuse euthyroid goiter
Author(s) -
A V Kiyaev,
И. О. Зайкова,
Valentin V. Fadeyev
Publication year - 2003
Publication title -
problemy èndokrinologii
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.124
H-Index - 5
eISSN - 2308-1430
pISSN - 0375-9660
DOI - 10.14341/probl11758
Subject(s) - medicine , goiter , euthyroid , etiology , pediatrics , physical examination , thyroid
То identify patients with autoimmune thyroiditis (AIT) in a random sample of children, a stepwise clinical examination was conducted among 427 ninth-form pupils (aged 14-15 years) from 4 Yekaterinburg districts. Among 58 children with goiter as shown by ultrasonography, 18 were initially diagnosed as having hypertrophic AIT; 38patients had diffuse euthyroid goiter; one patient had diffuse toxic goiter; and mixed euthyroid goiter was detected in one case. At one-year follow-up, re-examination rejected the diagnosis of AIT in 13 of the 18 patients. It was concluded that: (1) the follow-up of children with a presumptive diagnosis of AIT suggests that the latter plays a much less role in the etiological pattern of diffuse euthyroid goiter as compared with the data of the primary examination; (2) most changes originally interpreted as manifestations of AIT are reversible, which suggests that it is preferable to follow-up children with a presumptive diagnosis of AIT in the phase of euthyrosis under active therapeutic intervention.