2012, Number 2
<< Back Next >>
Rev Cubana Pediatr 2012; 84 (2)
Primary hypothyroidism in patients with Down syndrome
Rivero GM, Cabrera PR, García GA, de León ONE
Language: Spanish
References: 25
Page:
PDF size: 126.86 Kb.
ABSTRACT
Introduction: hypothyroidism is the resulting clinical picture of a reduction in the biological activity of thyroid hormones due to their low production or little use. Its association with Down syndrome has been previously described by other authors; however, few studies on the frequency of association of both entities in Cuba and on the clinical form of hypothyroidism in these patients have been conducted.
Objectives: to evaluate the association of Down syndrome and hypothyroidism in patients seen at our service from January to December 2011.
Methods: twenty four patients with Down syndrome, aged 3 to 7 years, were attended at the endocrinology service of "William Soler" pediatric hospital.
Results: it was found that all these patients exhibited high values of hypophysial thyrotrop hormone, 18 had osseous age retardation (75 %) and 4 showed low size of less than 3 percentiles (16.6 %).
Conclusions: hypothyroidism is a frequent disease associated with Down syndrome, so its detection and early treatment in these children is of vital importance to improve their cognitive development and integral growth.
REFERENCES
Lott IT, Dierssen M. Cognitive deficits and associated neurological complications in individuals with Down's syndrome. Lancet Neurol. 2010 Jun;9(6):623-33.
Chillarón JJ, Godoy A, Carrera MJ, Flores JA, Puig J, Cario JF. Los trastornos tiroideos en el síndrome de Down. Barcelona: Hospital Universitario del Mar; 2010. p. 4-6.
Mayayo E, Santisteban P, Labarta JI, Fernández A. Hipotiroidismo Congénito. En: M Pombo. Tratado de Endocrinología Pediátrica. 3ra. ed. Madrid: Edigrafos; 2002. p. 531-51.
Marilyn J. Bull and the Committee on Genetics. Clinical report-health supervision for children with Down syndrome. Pediatrics. 2011;128(2):383-406.
Güell González R, Carvajal Martínez F. Crecimiento y desarrollo del niño. La Habana: Editorial Ciencias Médicas; 2004. p. 28-57.
Güell González R, Carvajal Martínez F. Hipotiroidismo. La Habana: Editorial Ciencias Médicas; 2004. p. 56-67.
Tietz NW. Clinical guide to laboratory tests. 3rd ed. Philadelphia: WB Saunders Co; 1995. p. 596.
Prasher V, Ninan S, Haque S. Fifteen-year follow-up of thyroid status in adults with Down syndrome. J Intellect Disabil Res. 2011 Apr;55(4):392-6.
Regueras L, Prieto P, Muñoz-Calvo MT, Pozo J, Arguinzoniz L, Argente J. Endocrinological abnormalities in 1 105 children and adolescents with Down syndrome. Med Clin (Barc). 2011 Apr 9;136(9):376-81.
Mysek-Prucnal M, Sadowska L, Gruna-Ozarowska A. The diagnostics and developmental stimulation of small children with 21 trisomy in compliance with thyroid function. Pediatr Endocrinol Diabetes Metab. 2008;14(4):243-7.
Goday A, Carrera MJ, Chillarón JJ, Puig J, Cano JF. Trastornos endocrinológicos en el síndrome de Down. En: Corretger JM, Serés A, Casaldaliga J, Trias K (eds). Síndrome de Down. Aspectos médicos actuales. Barcelona: Masson; 2005. p. 174-86.
Murphy J, Philip M, Macken S. Thyroid dysfunction in Down's syndrome and screening for hypothyroidism in children and adolescents using capillary TSH measurement. J Pediatr Endocrinol Metab. 2008;21(2):155-63.
Mýhç E, Akçurin G, Eren E, Kardelen F, Akçurin S, Keser I. Evaluation of congenital heart diseases and thyroid abnormalities in children with Down syndrome. Anadolu Kardiyol Derg. 2010 Oct;10(5):440-5.
Gibson PA, Newton RW, Selby K. Longitudinal study of thyroid function in Down's syndrome in the first two decades. Arch Dis Child. 2005 Jun;90(6):574-8.
O'Grady MJ, Cody D. Subclinical hypothyroidism in childhood. Arch Dis Child. 2011 Mar;96(3):280-4.
Unachak K, Tanpaiboon P, Pongprot Y, Sittivangkul R, Silvilairat S, Dejkhamron P, et al. Thyroid functions in children with Down's syndrome. J Med Assoc Thai. 2008 Jan;91(1):56-61.
Chen MH, Chen SJ, Su LY, Yang W. Thyroid dysfunction in patients with Down syndrome. Acta Paediatr Taiwan. 2007 Jul-Aug;48(4):191-5.
Tuysuz B, Beker DB. Thyroid dysfunction in children with Down's syndrome. Acta Paediatr. 2001;90:1389-93.
Carroll KN, Arbogast P, Dudley JA, Cooper WO. Increase in Incidence of Medically-Treated Thyroid Disease in Children with Down Syndrome Following Re-release of American Academy of Pediatrics. Health Supervision Guidelines Pediatrics. 2008 August;122(2):e493-e8.
Beker DB. Thyroid dysfunction in children with Down's syndrome. Acta Paediatr. 2001;90:1389-93.
Leonelli de Moraes ME, de Moraes LC. Skeletal age of Down syndrome individuals [libro en internet]. [consultado 27 de noviembre de 2011]. Disponible en: http://www.intechopen.com/source/pdfs/20629/InTech-Skeletal_age_of_down_syndrome_individuals.pdf 2011.
van Trotsenburg ASP, Vulsma T, Rutgers SL, van Baar Anneloes L, Ridder JCD, Heymans HSA. The Effect of Thyroxine Treatment Started in the Neonatal Period on Development and Growth of Two- Year-Old Down Syndrome Children: A Randomized Clinical Trial. J Clin Endocrinol Metab. 2005;90:3304-11.
23.Tirosh E, Taub Y, Scher A, Jaffe M, Hochberg Z. Short-term efficacy of thyroid hormone supplementation for patients with Down syndrome and low-borderline thyroid function. Am J Ment Retard. 1989;93:652-6.
Fort P, Lifshitz F, Bellisario F. Abnormalities of thyroid function in infants with Down syndrome. J Pediatr. 1984;104:545-9.
25.Määttä T, Määttä J, Tervo-Määttä T, Taanila A, Kaski M, Iivanainen M. Healthcare and guidelines: a population-based survey of recorded medical problems and health surveillance for people with Down syndrome. J Intellect Dev Disabil. 2011;36(2):118-26.