학술논문

Graves’ disease in children with Down syndrome
Document Type
article
Source
Endocrine Connections, Vol 13, Iss 6, Pp 1-6 (2024)
Subject
anti-thyroid drug medication
autoimmune thyroiditis
down syndrome
graves’ disease
hyperthyroidism
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
Language
English
ISSN
2049-3614
Abstract
While subclinical or overt hypothyroidism are common in Down syndrome (DS); Graves’ disease (GD) is rare (ranges 0.6–3%). We aimed to evaluate the clinical features, course, and treatment of GD in children with DS and compare them with those without DS. Among 161 children with GD, 13 (8 female, 5 male) had DS (8%). Data were collected retrospectively from patients’ medical records. The mean age at diagnosis was 10.6 ± 4.5 years, with a female-to-male ratio 1.6:1. The main symptoms were weight loss (n = 6), increased irritability (n = 3), and increased sweating (n = 3). None had orbitopathy. Seven of 11 patients with a thyroid ultrasound at diagnosis had a goitre. On admission, all had thyroid-stimulating hormone (TSH)