Open AccessAlteraciones tiroideas en la infancia y en la adolescencia. Parte 1: hipertiroidismo Comité Nacional de Endocrinología
Author(s) -
Comité de Endocrinología de Endocrinología de la Sociedad Argentina de Nacional de Pediatría
Publication year - 2021
Publication title -
archivos argentinos de pediatría
Language(s) - Spanish
Resource type - Journals
eISSN - 1668-3501
pISSN - 0325-0075
DOI - 10.5546/aap.2021.s1
Subject(s) - medicine , gynecology , pediatrics , goiter , thyroid , graves' disease , humanities , endocrinology , philosophy
Hyperthyroidism is a serious and rare disorder in childhood characterized by the overproduction of thyroid hormones by the thyroid gland. Graves disease is the most common cause. The objective of this paper is to review and update hyperthyroidism in children and adolescents aiming to guide its early detection and referral to the pediatric endocrinologist. The disease should be suspected if typical symptoms and goiter are present and has to be confirmed with the characteristic biochemical profile. Initially, treatment to block the effect of the thyroid excess is needed. Antithyroid drugs are the recommended first-line treatment to diminish hormone production. Alternative treatments, such us radioactive iodine or thyroidectomy, are considered in cases of adverse effects to drugs, relapse or non-remission of the disease, in order to achieve hypothyroidism or euthyroidism.