Treatment of hypothyroidism in infants, children and adolescents

Trends Endocrinol Metab. 2022 May 7:S1043-2760(22)00064-9. doi: 10.1016/j.tem.2022.04.007. Online ahead of print.ABSTRACTIn 2014, treatment guidelines from the American Thyroid Association reflected the general consensus that levothyroxine (LT4), adjusted to maintain a normal thyrotropin (TSH) level, is the preferred method for treatment of hypothyroidism. Although this is generally applicable to children, there are subsets of children for whom the diagnosis and treatment of hypothyroidism are problematic. These include children with congenital hypothyroidism (CH), low birth weight (LBW) and very low birth weight (VLBW), Down syndrome (DS), subclinical hypothyroidism, and obesity. In this Review, we focus on the progress and remaining pitfalls in diagnosis and treatment of hypothyroidism in these and other groups.PMID:35537910 | DOI:10.1016/j.tem.2022.04.007

Source: Trends in Endocrinology and Metabolism: TEM - May 10, 2022 Category: Endocrinology Authors: Luisa Rodriguez Catherine Dinauer Gary Francis Source Type: research