Volume 10, Issue 2 (In Press 2022)                   J. Pediatr. Rev 2022, 10(2): 6-6 | Back to browse issues page


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Dalili S, Zamanfar D, Hassanzadeh Rad A, Najafi Chakoosari S. Total insights on goiter in children: A mini review. J. Pediatr. Rev. 2022; 10 (2) :6-6
URL: http://jpr.mazums.ac.ir/article-1-399-en.html
1- Associate Professor Pediatric Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.
2- Associate Professor Diabetes Research Center, Department of Pediatric Endocrinology, Mazandaran University of Medical Sciences, Sari, Iran.
3- PhD Pediatric Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran. , afaghrad@gums.ac.ir
4- MD Student Research Committee, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
Abstract:   (499 Views)
Thyroid disorder is one of the main endocrine problems in childhood. In Children with thyroid disorders, goiter is common. In this mini review, the authors aimed to present total insights on goiter in children. This is a mini review about total insights on goiter in children. This review included articles assessing goiter in children. ISI web of science, PubMed, and Google Scholar were investigated to find appropriate articles regarding goiter in children from 1988 to 2021. The keyword terms were thyroid, goiter, hyperthyroidism, hypothyroidism, and thyroid nodule. The authors included all study types assessing the pathophysiology, evaluation, and treatment of goiter in childhood. Taking the medical history and performing a physical examination, clinicians differentiate types of goiter including diffuse or nodular toxic or non-toxic which can present themselves in euthyroid, hypothyroid, and hyperthyroid states. Taking a thorough history, clinicians have to ask patients about their foods’ intake, place of inhabitants, and nutrient deficiencies to abstain from goitrogens. Diverse treatment methods are required for goiter in euthyroidism, hypothyroidism, and hyperthyroidism. In patients with euthyroidism, whenever there is iodine deficiency, or history of irradiation to the neck, or Hashimoto, suppressive therapy is needed.  Both clinical and subclinical hypothyroidism need levothyroxine. Besides, in hyperthyroidism, antithyroid drugs, iodine therapy, or surgery are needed. Based on the importance of managing goiter in children, clinicians have to consider food intake, vitamin deficiency, and iodine status in these patients.
     
Type of Study: Narrative Review | Subject: Endocrinology
Received: 2021/04/1 | Accepted: 2022/01/4 | Published: 2022/04/25

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